# KLAMATH CHILD AND FAMILY TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Klamath Youth Development Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003296740
- **Authorized official:** NENA INMAN (RESIDENTIAL SPECIALIST)
- **Authorized official phone:** (541) 887-2391

## Contact information

- **Practice address:** 2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
- **Practice address phone:** (541) 883-1028
- **Mailing address:** 2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
- **Mailing address phone:** (541) 883-1028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 172V00000X | OR | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 12/13/2016