Organization
TREE OF LIFE CHRISTIAN WILDERNESS EXPEDITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES YAHNE MAC,CADC III (DIRECTOR/COUNSELOR)
(541) 281-2956
Entity
Organization
Contact information
Practice address
5728 S 6TH ST, KLAMATH FALLS, OR 97603-5108
(541) 281-2956
Mailing address
PO BOX 1035, KLAMATH FALLS, OR 97601-0392
(541) 281-2956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
96-10-89
OR
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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