| NPI | 1639430747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD N/A CLARK Director 503-593-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |