| NPI | 1710337407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIE KARABATSOS Lpc Intern 503-841-2142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR R4267) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |