| NPI | 1821508086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SUZANNE O'DONNELL Clinical Social Worker 971-404-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L6408) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |