| NPI | 1699129445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN HEIDECKE Counselor 503-807-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C4060) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |