| NPI | 1265253082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANAKO DEVOLL President 503-887-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |