Provider Demographics
NPI:1972011682
Name:WOMEN'S ENRICHMENT COUNSELING
Entity Type:Organization
Organization Name:WOMEN'S ENRICHMENT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASWELL
Authorized Official - Suffix:
Authorized Official - Credentials:CADC II
Authorized Official - Phone:503-519-9752
Mailing Address - Street 1:1300 JOHN ADAMS ST STE 103
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-1691
Mailing Address - Country:US
Mailing Address - Phone:503-519-9752
Mailing Address - Fax:
Practice Address - Street 1:1300 JOHN ADAMS ST STE 103
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-1691
Practice Address - Country:US
Practice Address - Phone:503-519-9752
Practice Address - Fax:503-650-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR136872595324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility