La Pine Ktc, LLC
NPI #1700258258 in La Pine, Oregon
Provider Information
- NPI Number
- 1700258258
- Entity Type
- Organization
- Organization Name
- La Pine Ktc, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WHITE RABBIT PARTNERS
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 23, 2015
- Last Updated
- Oct 23, 2015
Practice Location
Authorized Official
- Name
- MILTON PARHAM
- Title
- CHIEF BUSINESS DEVELOPMENT OFFICER
- Phone
- (509) 668-8008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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