| NPI | 1568639078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG J BARON Skills Trainer, Care Coordinator 503-709-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |