| NPI | 1982141172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA BRYANT Detoxification Nurse 503-535-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 201140843RN) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |