NPI | 1295432235 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW HICKS CEO 971-403-0884 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QP2300X Clinic/Center, Primary Care | |
251S00000X Community/Behavioral Health | |
251V00000X Voluntary or Charitable | |
Enumeration Date | 2023-02-09 |
Last Update Date | 2023-03-07 |