| NPI | 1306216155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM HERREID Licensed Professional Counselor 503-380-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |