| NPI | 1063757250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA CASTILLEJA Case Manager/ Insurance Specialist 503-371-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 08-03-04) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |