| NPI | 1518481530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHMOND ASAMOAH Director 503-888-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |