| NPI | 1417832296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEE CLARK Manager 971-990-7628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2025-08-09 |
| Last Update Date | 2025-08-20 |