| 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 |