| NPI | 1922072487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J DAVID CHEVEALLIER President/CEO 503-228-5108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-08-22 |