| NPI | 1487011177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERA HOFFMAN Licensed Psychologist 971-238-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 2265) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |