| NPI | 1427414895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES VALENCIA Executive Director/President 503-623-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OR 0243) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |