| NPI | 1811325814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI BROCKMAN-ASTRUE Owner 503-220-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |