| NPI | 1316354970 |
|---|---|
| Doing Business As | OHSU AVEL GORDLY CENTER FOR HEALING |
| Entity Type | Organization |
| Authorized Contact | THOMAS M. HECKLER Senior Associate Dean 503-494-4481 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |