| NPI | 1558897710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RATERRA BOWENS BOWENS Peer Recovery Mentor 971-806-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: OR 17-CRM-071) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |