| NPI | 1588921845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETA B SICAT Executive Director 503-267-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |