PACIFIC CREST TRAIL DETOX LLC

MILWAUKIE, OR
NPI1043760838
Entity TypeOrganization
Authorized ContactBENJAMIN RANDOLPH
CEO
503-901-1836
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2016-10-05
Last Update Date2016-10-05
Business Address
PACIFIC CREST TRAIL DETOX LLC
7708 SE CLACKAMAS RD
MILWAUKIE, OR 97267-4405
Phone number: 503-908-8875
Mailing Address
PACIFIC CREST TRAIL DETOX LLC
10600 SE MCLOUGHLIN BLVD 207
MILWAUKIE, OR 97222-7428
Phone number: 855-770-0577
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