| NPI | 1760558365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BURGESS Behavioral Health Program Superviso 503-846-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |