| NPI | 1801637756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH N KARANJA Provider 503-810-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-07-30 |