| NPI | 1114128121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB F DONOVAN President 503-586-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TN L 438-017-3683) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2011-05-12 |