| NPI | 1477838852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN MCKINNON Social Worker 503-292-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR Oregon 0326) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |