| NPI | 1487931382 |
|---|---|
| Doing Business As | CHARLES G BELLVILLE SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | CHARLES GEORGE BELLVILLE 0 Wner 503-274-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: OR 11983) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-08-16 |