| NPI | 1548636079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSSE L WATSON CEO 503-391-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |