| NPI | 1386199461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM E LUCEY President/Owner 971-225-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3676) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |