| NPI | 1922996313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHEL HAILE Operator 503-493-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |