| NPI | 1043876865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MATTHEW CONWAY Executive Director 503-917-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |