NPI | 1336894880 |
---|---|
Other Name | RENEW THERAPY NW LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER ANN JIM Owner 503-446-2024 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-02-14 |
Last Update Date | 2024-09-10 |