| NPI | 1659769396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K THOMPSON Therapist 971-248-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L4344) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |