| NPI | 1922273283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE KINDER WHITEHEAD President 503-693-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR OR 2005) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |