| NPI | 1104413533 |
|---|---|
| Other Name | BEHAVIORAL HEALTH DIVISION NON FQHC |
| Entity Type | Organization |
| Authorized Contact | JULIE A DODGE Interim Director 503-988-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |