| NPI | 1831444611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEWIS NUTTING Business Owner 541-660-5714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2014-08-29 |