| NPI | 1790206837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH CASEY Child And Family Therapist 503-869-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: OR C2350) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-02-13 |