| NPI | 1932436037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA V PARKER Program Director 503-781-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR Cerificate of approv) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |