| NPI | 1689924722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA NORTH Executive Director 503-535-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |