Organization
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Active
Parent organization
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Other names
Klamath Youth Regional Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Authorized official
LEROY JACKSON JR. (HEALTH GENERAL MANAGER)
(541) 882-1487
Entity
Organization
Contact information
Practice address
121 IOWA ST., KLAMATH FALLS, OR 97601
(541) 882-1487
(541) 882-1670
Mailing address
3949 SOUTH 6TH ST., KLAMATH FALLS, OR 97603-4746
(541) 882-1487
(541) 882-1670
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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