NPI | 1134900103 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISA ROSE STOPA Owner/Therapist 503-888-5107 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2023-10-06 |
Last Update Date | 2023-10-06 |