| NPI | 1952187270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WILLIAMSON Owner 971-610-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2025-10-07 |