| NPI | 1558647156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE TOBIN Owner 503-318-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR 200650134NP) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |