# PELTON PROJECT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pelton Project
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053559765
- **Authorized official:** CHAD STEVENS (CEO)
- **Authorized official phone:** (503) 689-4866

## Contact information

- **Practice address:** 714 LOST LN N, KEIZER, OR 97303-6335
- **Practice address phone:** (503) 463-6499
- **Practice address fax:** (503) 304-2224
- **Mailing address:** PO BOX 21748, KEIZER, OR 97307-1748
- **Mailing address phone:** (541) 760-7851
- **Mailing address fax:** (503) 304-2224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 07/02/2019