| NPI | 1841185485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHERF MARIE PETERSON Psychotherapist 971-410-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |