| NPI | 1740420603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE ELDRIDGE-PEDERSON President 503-287-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1070) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-17 |