| NPI | 1366827487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVELIN L HARDY Social Worker 971-275-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A5513) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |