| NPI | 1407146350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S MONTGOMERY President 503-661-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 530) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-18 |