| NPI | 1073659744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARUNDAH MICHELLE ROBERTSON Resident Councelor 1 503-788-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |