| NPI | 1942944079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN RENEE BRAZIEL Owner/Manager/Employee 503-930-7349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |