| NPI | 1881128163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA MUELLER Therapist 503-449-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C2158) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |