| NPI | 1558971572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M SPROUL Owner 971-227-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-06-22 |