| NPI | 1487101762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. REBECCA BARDEN Director Of Operations 971-804-4078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2016-09-05 |