| NPI | 1235091737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEUL ALEMU Adminstrator 503-809-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |