| NPI | 1356973010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAICA NIZSHA IMANI-NELSON CEO 503-933-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |