| NPI | 1992204697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD TODD FLYNN Clinical Director 503-897-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |