| NPI | 1316661010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORREY A THILLE Licensed Clinical Social Worker 971-710-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2023-07-11 |