| NPI | 1225797350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN HEPNER-HALL Director Of Operations 971-801-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |