| NPI | 1346420338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA HAMPTON Primary Counselor 503-928-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |