| NPI | 1982449674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALIYAH DANIEL CEO 503-908-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |