| NPI | 1679002786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ELIZABETH DURST Individual And Family Therapist 971-219-7685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR L6314) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |