| NPI | 1184633141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LA VINE Human Resources Generalist 503-363-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR ACCBO970482) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-03-16 |