| NPI | 1851835722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN HERNANDEZ PEREZ Substance Use Disorder Counselor 503-352-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OR 15-03-12) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |