| 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 |