NPI | 1841998820 |
---|---|
Entity Type | Organization |
Authorized Contact | TOR TRAVIS Owner 971-261-8737 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-02-20 |