| NPI | 1396578175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA CANO Owner 503-908-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |