| NPI | 1699398792 |
|---|---|
| Doing Business As | C. DAVID MAXEY, M.A. |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID MAXEY Licensed Psychologist Associate 503-928-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2022-07-17 |