NPI | 1366989485 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE HASSON Owner 503-523-9809 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 500601014) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2017-01-26 |