NPI | 1427708171 |
---|---|
Entity Type | Organization |
Authorized Contact | LELAND ST CHARLES Psychologist, Owner, Sole Member 503-755-8808 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-03-25 |
Last Update Date | 2023-01-07 |