| NPI | 1780411926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUADO ABSHIR MADEY Case Manager/ Care Coordinator 971-601-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |