| NPI | 1912331646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MORROW Executive Director 503-542-4608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |