NPI | 1780327015 |
---|---|
Former Legal Business Name | LOST ARTS THERAPEUTICS LLC |
Entity Type | Organization |
Authorized Contact | ROBERT ANDREW DAUGHETEE Executive Director 503-679-5067 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
251B00000X Case Management | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM2800X Clinic/Center, Methadone Clinic | |
324500000X Substance Abuse Rehabilitation Facility | |
347B00000X Bus | |
Enumeration Date | 2022-04-14 |
Last Update Date | 2022-04-14 |