| NPI | 1396245858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY C MAKOWICHUK Owner/ Operator 503-607-7236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4797) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-05-30 |