| NPI | 1720013071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG P HANSEN Polk County Administrative Officer 503-623-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR Certificate of Appro) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |