NPI | 1720573116 |
---|---|
Doing Business As | CONCISE IOP |
Entity Type | Organization |
Authorized Contact | NICHOLAS MATHEWS Executive Director 503-791-3205 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-06-27 |
Last Update Date | 2018-06-27 |