| NPI | 1598917866 |
|---|---|
| Other Name | BROOKSIDE ADDICTION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TRINA MILLER Milieu Counselor 1 503-702-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2008-10-18 |
| Last Update Date | 2008-10-18 |