| NPI | 1154741668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND POWERS Program Director 503-983-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2022-10-26 |