NPI | 1205638640 |
---|---|
Entity Type | Organization |
Authorized Contact | CELESTE ENDLICH Therapist 503-218-3399 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-03-26 |
Last Update Date | 2025-04-14 |