| NPI | 1649058900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIP WILLIAMS Owner And Psychotherapist 503-922-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-10-11 |