| NPI | 1427269190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARLEY President 503-371-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR 200250038NP) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-08-31 |