| NPI | 1992288542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL HERRING Owner 971-275-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |