| NPI | 1740844984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN TILLEY President 503-840-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2024-02-28 |