NPI | 1407498918 |
---|---|
Former Legal Business Name | SKYHOOK MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | LYNN KNOPE Director 503-740-7588 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2019-10-16 |
Last Update Date | 2019-10-16 |