NPI:
1578864641
Provider Name:
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Doing Business As: KLAMATH YOUTH REGIONAL TREATMENT CENTER
Classification:
Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type:
Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 38D2286315
Address:
121 IOWA ST.
KLAMATH FALLS, OR
ZIP 97601
Phone:
(541) 882-1487
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KLAMATH TRIBAL HEALTH & FAMILY SERVICES is a substance abuse treatment and children substance abuse rehabilitation facility in Klamath Falls, OR. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. KLAMATH TRIBAL HEALTH & FAMILY SERVICES NPI is 1578864641. The provider is registered as an organization entity type.
The provider Is Doing Business As Klamath Youth Regional Treatment Center.
The provider's business location address is:
121 IOWA ST.
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 882-1487
Fax: (541) 882-1670
The provider's authorized official is Leroy Jackson .
The authorized official title is Health General Manager and has the following contact phone number (541) 882-1487.
The CLIA number assigned to this NPI record is 38D2286315 - other - federal tribal clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/5/2010 and was last updated on 11/5/2010.