| NPI | 1740410224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ALISON SHAY Director 503-584-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR CO492) |
| Additional Taxonomies | 251S00000X (Licence: OR c0492) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: OR CO492) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2010-08-19 |