| NPI | 1871069674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICA RICHARDS Part Owner 503-395-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |