| NPI | 1023491081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORTIA RILEY Licensed Mental Health Counselor 503-567-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60308563) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |