| NPI | 1821877606 |
|---|---|
| Other Name | SHAUNTA HEMINGWAY |
| Entity Type | Organization |
| Authorized Contact | SHAUNTA HEMINGWAY Owner, CEO 541-972-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-25 |