| NPI | 1174263230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MICHELLE MICHEL Licensed Marriage & Family Therapis 503-998-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-11-16 |