| NPI | 1356628119 |
|---|---|
| Other Name | ADULT ALCOHOL AND DRUG TREATMENT |
| Entity Type | Organization |
| Authorized Contact | LAURA KRISTIE MORENO Case Management 503-362-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 190702) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |