NPI | 1609084904 |
---|---|
Other Name | HOOPER DETOXIFICATION & STABILIZATION CENTER |
Entity Type | Organization |
Authorized Contact | ANDREW MENDENHALL President & CEO 503-294-1681 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2023-03-06 |