| NPI | 1417301193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN BITIKOFER Therapist, Owner 503-910-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L3363) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |