| NPI | 1417822875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON A SHELTON Counselor 971-334-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |