| NPI | 1184101164 |
|---|---|
| Doing Business As | FAMILY ROOTS THERAPY |
| Entity Type | Organization |
| Authorized Contact | KALEIGH BOYSEN-QUINATA Owner 503-746-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2020-03-04 |