| NPI | 1164233771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PENLEY Managing Member 503-395-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |