| NPI | 1780043802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LUGO Hr Coordinator 503-666-6575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |