| NPI | 1295435048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE S MCMULLIN Owner/Psychologist 971-273-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |