NPI | 1679172290 |
---|---|
Doing Business As | CYTI PSYCHOLOGICAL |
Entity Type | Organization |
Authorized Contact | DANIEL J. COSTA Chief Medical Officer 503-814-7445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-10-23 |
Last Update Date | 2024-02-15 |