| NPI | 1730704586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONE J EEK Executive Administrator / Treasurer 503-544-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2021-02-14 |