| NPI | 1356322713 |
|---|---|
| Doing Business As | TAHANA WHITECROW OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | MELANIE MAE SMITH Director Substance Abuse Counselor 503-585-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |