| NPI | 1134589096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LIEBE CEO 503-369-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |