| NPI | 1629793880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY NELSON Partner 971-266-0647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |