| NPI | 1578840849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A WALLENSTEIN Executive Director/Owner 503-640-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X (Licence: OR OAR4150510000) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2023-03-15 |