| NPI | 1568647899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY ELAINE KALIN President 971-255-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C2283) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2011-03-11 |