NPI | 1225418312 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBYN LYNN TRAVIS Manager/Clinical Director 503-931-7245 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C2943) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2015-06-03 |