| NPI | 1053624387 |
|---|---|
| Former Legal Business Name | PORTLAND IMPACT, INC |
| Entity Type | Organization |
| Authorized Contact | AMANDA LEE ADAMS Ltk Project Coordinator 541-227-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2017-08-17 |