| NPI | 1609649722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIHRETU DESSALEGNE Manager 971-563-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2024-07-30 |