| NPI | 1457181919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MANZI Operations Manager 503-734-5698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |