| NPI | 1982075636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH EXLEY Owner 503-376-7114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR L5795) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L5795) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |