| NPI | 1710681416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZA CHAKISSO Executive Director 971-719-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |