NPI 1053559765

Pelton Project, INC.

Organisation Psychiatric Residential Treatment Facility Keizer, OR

Practice location

Address: 714 Lost Ln N, Keizer, OR 97303-6335
Phone: (503) 463-6499
Fax: (503) 304-2224
Mailing address: PO Box 21748, Keizer, OR 97307-1748

Authorised official

Name: Chad Stevens
Title: Ceo
Phone: (503) 689-4866

Registered specialties (3)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1053559765
Entity type: Organization
NPI issued: 3 Feb 2009
Record last updated: 2 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.