| NPI | 1770603532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO GUTIERREZ Mental Health Counselor I 503-623-9289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OR 00-07-15) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-07-02 |