Organization
TRANSFORMATIONS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN HEATH MA, BS, CADC II (CEO)
(541) 884-5244
Entity
Organization
Contact information
Practice address
3647 HWY 39, KLAMATH FALLS, OR 97603
(541) 884-5244
(541) 884-5244
Mailing address
3647 HIGHWAY 39, KLAMATH FALLS, OR 97603-2612
(541) 884-5244
(541) 884-1105
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
700066
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R169128
MEDICARE PTAN
—
Enumeration date
05/22/2007
Last updated
05/04/2021
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