NPI | 1720618887 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE ORNELAS Owner 503-270-9989 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-01-17 |
Last Update Date | 2020-01-17 |