| NPI | 1720349251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE ELLIS-LITTLE Owner/Operator 503-760-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OR 10714) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |