| NPI | 1508470329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNCHA PHILLIPS DATO Mental Health Therapist 503-560-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |