| NPI | 1346667565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA MANALIS Owner/Director 503-867-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3076) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-07-30 |