| NPI | 1851715098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MARCEL MOURS Owner 503-806-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: OR 1991) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |