| NPI | 1073699013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE NEMIROW Director 503-249-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR non-numbered certifi) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |