NPI | 1215638150 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY SUZANNE GARRETT Owner/Therapist 503-550-5089 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-03-16 |
Last Update Date | 2023-12-14 |