| NPI | 1992558373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA MARIE DANZUKA M.H. Counselor/Executive Director 503-949-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2025-04-23 |