| NPI | 1568294023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA A FURTADO Owner/Therapist 971-266-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |