| NPI | 1154003838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS BOBBETTE LAWRENCE Mental Health Therapist 971-385-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |