| NPI | 1649412511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD WHISNANT Owner 503-750-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR ac01151) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |