| NPI | 1497104004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY RAIZADA CEO 503-626-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2021-03-25 |