| NPI | 1659866911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNI SHARON REDDY Counselor 503-501-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2019-01-21 |