| NPI | 1205087574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD STEVEN ZAGER Program Director 503-589-4062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 07-R-01) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |