| NPI | 1821524018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BRUNZELLE Executive Director 971-334-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2017-05-07 |