| NPI | 1013363910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DAVIS Clinical Administrator 503-877-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |