| NPI | 1710271861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN WIEGEL Hr 503-726-3698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |