| NPI | 1881569291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEARE GEBRETSADIK GEBRESLASSIE Administrator 503-875-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |