| NPI | 1346667565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BARNEY MANALIS Co Director/Co Owner 503-349-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3076) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2015-12-09 |