| NPI | 1912530643 |
|---|---|
| Former Legal Business Name | POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES |
| Entity Type | Organization |
| Authorized Contact | JUSTIN WILLIAM BUSH Co Owner/Licensed Psychlogist 503-333-5213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |