NPI | 1770044968 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDYL WATTS Owner 503-333-7649 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2021-07-22 |