| NPI | 1386389120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGHAN M. LEWIS Licensed Clinical Psychologist 971-247-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2023-02-14 |