| NPI | 1568660900 |
|---|---|
| Doing Business As | PROVIDENCE BEHAVIORAL HEALTH OUTPATIENT WEST |
| Entity Type | Organization |
| Authorized Contact | MITCHELL NEYHART Chief Finance Officer 503-574-9840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2010-04-20 |