NPI | 1104219211 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL TIERNEY Director 503-226-2203 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 140333) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2024-05-14 |