NPI | 1043939887 |
---|---|
Entity Type | Organization |
Authorized Contact | KA RIN KAY JOHNSON Owner 503-580-0611 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2022-08-24 |
Last Update Date | 2022-10-13 |