| NPI | 1073216578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA JOY HUFFAKER ETHELL Business Owner 971-719-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-05-08 |