| NPI | 1326339441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORBIN JAMES HADLOCK Caregiver 503-341-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2011-04-23 |