| NPI | 1073264537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KATHERINE ADAMS Owner 971-235-0917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-07-18 |