| NPI | 1780092825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE LOUISE WOODWARD Clinical Social Worker 503-956-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L4939) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |