| NPI | 1104145655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY FORREST Director Of Proffesional Services 503-353-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |