| NPI | 1497932982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN E GRISHAM Owner 503-363-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 000025769N6) |
| Enumeration Date | 2008-01-27 |
| Last Update Date | 2008-01-27 |