| NPI | 1659796324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ERNEST Owner/Therapist 503-284-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C3245) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |