| NPI | 1346856200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY TESS DEMARCO Managing Member 503-758-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |