| NPI | 1457282659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MATHIAS THOMAS CRAPSER Chief Clinical Officer 971-438-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-05-27 |