NPI | 1629470257 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI KELLEY Fiscal Manager 503-535-3882 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1041C0700X) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2014-09-26 |