| NPI | 1639947278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE KOVACS Licensed Clinical Social Worker 503-298-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-01-29 |