| NPI | 1942745898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLEEN ROSS Therapist 971-322-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 5773) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |