NPI | 1649905662 |
---|---|
Doing Business As | PORTAL WELLNESS COLLECTIVE |
Entity Type | Organization |
Authorized Contact | ERIKA C NELSON Owner 360-672-0618 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2022-07-22 |
Last Update Date | 2025-06-10 |