NPI | 1407499072 |
---|---|
Doing Business As | KATIE WARGO, LISW-CP |
Entity Type | Organization |
Authorized Contact | KATHERINE WARGO Therapist 971-226-5130 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-10-25 |
Last Update Date | 2019-10-25 |