| NPI | 1922859198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA LIME Owner 541-740-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-28 |