| NPI | 1366995516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH M BOGDON Mental Health Counselor 971-284-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C4160) |
| Enumeration Date | 2016-07-24 |
| Last Update Date | 2016-07-24 |