| NPI | 1073225884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA POWERS Mental Health & Addiction Counselor 971-275-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2023-04-06 |