| NPI | 1336623602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA LYNN YEREX Owner 971-226-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2023-10-31 |