| NPI | 1861576340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GAGLIARDO Owner Therapist 503-581-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L0280) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR L0280) |
| 101Y00000X Counselor (Licence: OR L0280) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |