| NPI | 1710603360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNIRAH BROWN President 503-995-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |