| NPI | 1164692307 |
|---|---|
| Doing Business As | OREGON |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH-1824) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2023-05-14 |