Organization
KYLE R JOHNSON
Active
Other names
Klamath Basin Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE RAYMOND JOHNSON B.S (TREATMENT SPECIALIST)
(541) 883-1030
Entity
Organization
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
(541) 884-2338
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
02/08/2016
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