NPI | 1407388812 |
---|---|
Entity Type | Organization |
Authorized Contact | OMOLOLA A ELLIOTT Therapist 971-212-3146 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L7113) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |