| NPI | 1922968882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RODRIGUEZ Clinical Psychologist 971-266-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2025-11-13 |