| NPI | 1336632074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY RAIZADA CEO 503-626-1800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-12-04 |