| NPI | 1174321657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHEL MASRESHA Administrator 503-740-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-08-20 |