| NPI | 1114803384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHEL HAILE Operator 503-493-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |