| NPI | 1487908935 |
|---|---|
| Other Name | OLD OAK |
| Entity Type | Organization |
| Authorized Contact | HELEN E HONEY CFO 503-581-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |