| NPI | 1497205686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN BUTLER Executive Director 971-600-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |