| NPI | 1245643295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MATTHEW WELLY Psychotherapist 503-249-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR T0371) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2014-06-07 |