| NPI | 1609163740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBI R DAY Atr Corridiantor/Counselor 503-231-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 10-R-30) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CD 60032337) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |