| NPI | 1598801987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DEE HOWARD Skills Trainer 503-771-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OR 323P00000X) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |