| NPI | 1184917783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP BROYLES Executive Director 503-719-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2013-11-08 |