| NPI | 1104561562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WATSON Owner 971-415-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2022-04-30 |