| NPI | 1952769705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ROBERTS Therapist 503-902-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C3077) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |