| NPI | 1912889809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NZITONDA NSENGIYUMVA Organizer 503-928-0598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |