| NPI | 1194268748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN THOMAS HOREY Founder 503-610-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: OR 164194) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |