| NPI | 1417277021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABD KHALSA Admissions Counselor 503-535-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |