| NPI | 1841318581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANAKO M ALDRICH Girls Program Supervisior 503-535-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-08-08 |