| NPI | 1013066901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY CHRISTOPHER COTTON Co Director 503-246-5238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |