| NPI | 1235442203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA F HATEGAN Director 971-228-8672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2021-01-06 |