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 |