| NPI | 1538674916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL E. HAUBEN Mental Health Therapist 971-235-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |