| NPI | 1376955641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY S BRUTON Executive Director / Owner 503-910-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C2439) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |