| NPI | 1962836262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE KARAM Executive Director 503-704-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OR 0118) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |