| NPI | 1073146197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN FITZ GIBBON Founder 971-350-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-02-10 |