| NPI | 1962200253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GROVE Behavioral Health Sr. Prgm. Manager 971-428-5498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-11 |