| NPI | 1689335002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ABDULKADIR Director 503-660-2452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |