| NPI | 1649685009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON RICHARDSON ROUNDY Clinical Director 503-826-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 96-10-67) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |