| NPI | 1871717769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARGARET DOUCETTE Counselor 503-535-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |