NPI | 1023007093 |
---|---|
Doing Business As | NARA NW-RESIDENTIAL TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | SARAH AYERS Credentialing Specialist 503-367-9089 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: OR 700032) |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2005-10-20 |
Last Update Date | 2024-03-29 |