NPI | 1942981493 |
---|---|
Doing Business As | PREMIERE RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | GERALD TODD FLYNN Executive Director 503-332-4969 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-07-27 |
Last Update Date | 2023-07-27 |