Klamath Youth Development Center
NPI #1396172375 in Klamath Falls, Oregon
Provider Information
- NPI Number
- 1396172375
- Entity Type
- Organization
- Organization Name
- Klamath Youth Development Center
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 4, 2013
- Last Updated
- Oct 4, 2013
Practice Location
- Address
- 2210 N ELDORADO AVE
- City
- Klamath Falls
- State
- Oregon
- ZIP Code
- 97601-6418
- Phone
- (541) 883-1030
Authorized Official
- Name
- MRS. JENNY ELLEN WHEELER, BS, CADC I
- Title
- TRANSITION CORDINATOR SBS
- Phone
- (541) 591-5604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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