Organization
PELTON PROJECT, INC.
Active
Other names
Pelton Project
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD STEVENS (CEO)
(503) 689-4866
Entity
Organization
Contact information
Practice address
714 LOST LN N, KEIZER, OR 97303-6335
(503) 463-6499
(503) 304-2224
Mailing address
PO BOX 21748, KEIZER, OR 97307-1748
(541) 760-7851
(503) 304-2224
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/03/2009
Last updated
07/02/2019
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