| NPI | 1083157135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH W LARRABEE Owner 503-490-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4375) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |