| NPI | 1699419606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIVER C. DELOGU-CLARK Professional Counselor Associate 503-383-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2024-06-07 |