| NPI | 1043503006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN WEIGEL Hr 503-830-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |