| NPI | 1215474911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NALLELY VILLEGAS Receptionist 971-303-5108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |