NPI | 1003030305 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRI FRAZIER Director Of Nursing 503-408-5016 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OR 097006163rn) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2008-06-12 |