| NPI | 1033383161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO M MEZA Director 503-930-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 000329) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OR 000329) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-07-17 |