| NPI | 1629223243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE WATSON CEO 503-391-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2013-05-16 |