Organization
KLAMATH CHILD AND FAMILY TREATMENT CENTER
Active
Other names
Klamath Youth Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
NENA INMAN (RESIDENTIAL SPECIALIST)
(541) 887-2391
Entity
Organization
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1028
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1028
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
172V00000X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172V00000X
NON PROFIT
OR
Enumeration date
06/08/2015
Last updated
12/13/2016
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