| NPI | 1023541836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J YEARY Owner/Organizer 503-451-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR C4446) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |