| NPI | 1417360702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PAUL ESPARZA Owner 503-573-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR MD27462) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |