| NPI | 1851039648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LATORRE Clinical Director/ Owner 503-888-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2024-02-06 |