| NPI | 1689272379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK OLIVER GLENN Licensed Mental Health Counselor 503-791-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |