| NPI | 1871885012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL DEHART Peer Support Specialist 503-982-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |