| NPI | 1063961456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN VAUGHN Co Owner 971-249-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: OR L3550) | |
| 106H00000X Marriage & Family Therapist (Licence: OR T1148) | |
| 221700000X Art Therapist | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2022-12-07 |