| NPI | 1982404166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GROVE Behavioral Health Program Manager 971-428-5498 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |