| NPI | 1548822216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SCOTT NIELSEN Executive Director 503-304-4358 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |