| NPI | 1265941140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE HOUSER Owner 503-816-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60723726) |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2017-09-23 |