| NPI | 1871245183 |
|---|---|
| Other Name | LIVE. SHARE. GROW. LLC |
| Entity Type | Organization |
| Authorized Contact | ASHLEY TEETERS CEO 541-525-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2023-10-06 |