| NPI | 1467970970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE C. CHURCH Owner 503-971-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |