| NPI | 1487082681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LOEWEN Department Director 503-434-7512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |