| NPI | 1083149215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE FULLER Executive Director 503-546-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1275695934) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |