| NPI | 1316221880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE TERHUNE Bussiness Manager 503-254-7371 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 3903) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |