| NPI | 1659018380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE LYDAY Owner, Therapist 971-203-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2022-05-15 |