| NPI | 1508598749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLARA SALAZAR Owner 503-328-4197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-04-11 |