| NPI | 1447690318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER JANE JOHNSON Counselor 503-883-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 5235) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |