| NPI | 1588135180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAHM STEPHENSON President 971-706-9524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2020-04-13 |