| NPI | 1720118813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE JEROME ISAAC Residential Councelor 503-771-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |