| NPI | 1952118523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNIE SID NAPIER Member 503-435-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |