| NPI | 1780026534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNEEN MANNO Business Owner 503-657-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 387035-91) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |