| NPI | 1508587825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MACLEOD Organizer/Owner/Operator/Counselor 503-420-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-20 |