| NPI | 1427691922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY PAUL Licensed Professional Counselor 971-707-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2022-06-09 |