| NPI | 1457763443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MICHELLE TINGLEY Msw, Owner 503-601-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2015-07-06 |