NPI | 1033740204 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE ELIZABETH GOMEZ Owner 503-726-9630 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-01-28 |
Last Update Date | 2020-02-12 |