| NPI | 1447659727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE PLISKE CEO 503-560-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L5487) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |