| NPI | 1427361963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RAE LEHNHERR Counselor 503-239-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 930320) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |