| NPI | 1831824424 |
|---|---|
| Doing Business As | BANSHEE THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHELLE N JAQUISH Sole Owner 541-626-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-10-26 |