| NPI | 1891012506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RUSSELL FOWELL Revenue Assurance Manager 503-205-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OR 0006) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-09-28 |