| NPI | 1336549344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA DUARTE Counselor Associate 503-819-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA MC60394198) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |