| NPI | 1518280676 |
|---|---|
| Doing Business As | CLEAN LIVING CENTERS |
| Entity Type | Organization |
| Authorized Contact | LYNN C BURGESS Executive Director 503-515-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |