| NPI | 1871887935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA MICHELLE BRYANT Detoxification Nurse 503-535-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 201140843RN) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |