| NPI | 1487827036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L ALLISON Office Manager 971-221-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L3794) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2013-10-09 |