| NPI | 1275123762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILYAN SMITH-MOORE Chair 971-373-4497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2024-01-08 |