Organization
KLAMATH CHILD NAD FAMILY TREATMENT CENTER
Active
Other names
Klamath Youth Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZ MADDALENA (DIRECTOR OF OPERATIONS)
(541) 883-1030
Entity
Organization
Contact information
Practice address
725 WASHBURN WAY, KLAMATH FALLS, OR 97603-3648
(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
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223354
—
OR
Enumeration date
07/31/2013
Last updated
07/31/2013
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