| NPI | 1952746331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PADGETT Director 503-585-8129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 980470) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2015-04-22 |