| NPI | 1568267326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RAY LYMAN Counselor 503-252-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |