Organization Name: | FAMILY INSTITUTE, P.C. |
NPI Number: | 1225244304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT DAVIDSON (DIRECTOR) |
Mailing Address: | 4110 Pacific Ave Suite 202 Forest Grove |
State: | OR US |
Postal Code: | 971162266 |
Phone Number: | 5033579548 |
Fax Number: | 5033571158 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |