| NPI | 1871373548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LEE WOOD Reg Counselor Associate/Owner 971-270-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |