NPI | 1730167982 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID PUMP Executive Director 503-591-9280 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2006-01-06 |
Last Update Date | 2013-04-11 |