| NPI | 1538526942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MACKLIN Director 503-257-0381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 140607) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |