| NPI | 1215587126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARITA EUGENIA TRAWICK Executive Director 503-688-3802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |