NPI 1093040693

Bob Belloni Ranch, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Coos Bay, OR

Practice location

Address: 320 Central Ave STE 406, Coos Bay, OR 97420-2241
Phone: (541) 269-0321

Authorised official

Name: Roger Langlie
Title: Executive Director
Phone: (541) 269-0321

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 43 (OR)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oregon →

Registry record

NPI: 1093040693
Entity type: Organization
NPI issued: 15 Oct 2009
Record last updated: 2 Dec 2013

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.