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Organization

KLAMATH CHILD AND FAMILY TREATMENT CENTER

Active
Other names
Klamath Youth Development Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STANLEY DALE GILBERT LPC, LMFT (EXECUTIVE DIRECTOR)
(541) 883-1030
Entity
Organization

Contact information

Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
(541) 884-2338
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
(541) 884-2338

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
223354
OR
Enumeration date
07/10/2006
Last updated
08/22/2020
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