| NPI | 1124894415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HAUGEN Owner 971-405-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |