| NPI | 1194297671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN M BROWN Owner 503-875-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-06-11 |