| NPI | 1427832831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KENNETH MCMURRY Program Director 503-516-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |