LA PINE KTC, LLC is a substance abuse rehabilitation facility in La Pine, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LA PINE KTC, LLC NPI is 1700258258. The provider is registered as an organization entity type.
The provider Is Doing Business As Klean La Pine.
The provider's business location address is:
16161 BURGESS RD
LA PINE, OR
ZIP 97739-533
Phone: (509) 668-8008
Fax: (503) 432-8913
The provider's authorized official is Milton Parham .
The authorized official title is Chief Business Development Officer and has the following contact phone number (509) 668-8008.
The enumeration date for this NPI number is 10/23/2015 and was last updated on 10/23/2015.