| NPI | 1316721418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD TODD FLYNN Executive Director 503-332-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |