| NPI | 1922164144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIEN LEAH BLISS President, Secretary 503-362-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 501827) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C1117) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |