| NPI | 1710711080 |
|---|---|
| Doing Business As | AWAKENED HEART PORTLAND |
| Entity Type | Organization |
| Authorized Contact | LESLIE FUCHS CEO 810-358-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-09-05 |