| NPI | 1518695733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMION JOHNSON Owner 503-749-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |