Organization
KLAMATH CHILD AND FAMILY TREATMENT CENTER
Active
Other names
Klamath Basin Behavior Health
Organization subpart
No
Provider details
NPI number
Authorized official
KARENA KAY MENDOZA (RESIDENT CARE AID)
(541) 892-4655
Entity
Organization
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Mailing address
13907 RAVENWOOD DR, KLAMATH FALLS, OR 97601-9591
(541) 892-4655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
93-0753926
OR
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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