| NPI | 1316038631 |
|---|---|
| Doing Business As | PROVIDENCE CONSULTING PSYCHIATRY EAST |
| Entity Type | Organization |
| Authorized Contact | MITCHELL NEYHART CFO 503-574-9840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-04-16 |