| NPI | 1609192178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVIE BRADFORD HOGGANS Program Director 503-255-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-12 |