| NPI | 1619796315 |
|---|---|
| Other Name | K12 |
| Entity Type | Organization |
| Authorized Contact | ALICIA THOMPSON RODRIGUEZ Program Specialist 503-988-8291 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |