| NPI | 1417003757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELONEE ANN MELSON Counselor Ii 503-402-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2020-08-22 |