| NPI | 1427727486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN DUNMIRE Program Director 503-409-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2021-09-12 |