| NPI | 1982352548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH SHINDELAR Owner 541-870-1857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-09-18 |