| NPI | 1891522819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KITTY KLOUD Clinical Lead 971-895-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2025-06-16 |