| NPI | 1538570551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELA JOHNSON Skill Trainer 503-243-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |