| NPI | 1952824195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA LEIGH NAIR Managing Member 503-488-6678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR MD177956) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-08-29 |