| NPI | 1053559765 |
|---|---|
| Former Legal Business Name | PELTON PROJECT |
| Entity Type | Organization |
| Authorized Contact | CHAD STEVENS CEO 503-689-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2019-07-02 |