| NPI | 1902309677 |
|---|---|
| Doing Business As | CREATIVE SPIRIT COLLABORATIVE |
| Entity Type | Organization |
| Authorized Contact | RACHELLE CORNELIUS Owner & Provider 541-514-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3044) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2021-08-02 |