NPI | 1992411052 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA GOTLIB Founder/CEO 541-357-9433 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2023-01-23 |
Last Update Date | 2025-07-30 |