| NPI | 1306987128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DONNELLY Access Therapist 503-813-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-05-16 |