| NPI | 1083582415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIYA N GEMEDO Owner / Executive Director 503-863-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |