| NPI | 1992411052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA GOTLIB Founder/CEO 541-357-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-11-14 |