| NPI | 1871107045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON N. MOUZON Owner/Psychotherapist 503-468-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |