| NPI | 1932915063 |
|---|---|
| Other Name | ROSE CITY DETOX |
| Entity Type | Organization |
| Authorized Contact | WILLIAM RAY ANDERSON Executive Director/ Ownership 503-896-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |