| NPI | 1912298092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ARNOLD DICKS President 503-805-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1441) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |