| NPI | 1306085311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY WARNER MILLER Clinical Psychologist 503-720-6372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1858) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |