NPI | 1992883631 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL MAHLER Executive Director 503-722-4470 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |