| NPI | 1275348468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BING WEN XIE Owner 503-869-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |