| NPI | 1972065571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCIA SMITH Member/Therapist 971-220-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |