| NPI | 1174941066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEE PURDY Owner 971-227-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 4182) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |