NPI 1366865495

Kairos Northwest

Organisation Mental Illness Community Based Residential Treatment Facility Grants Pass, OR

Practice location

Address: 210 Tacoma St, Grants Pass, OR 97526-9370
Phone: (541) 467-3302
Mailing address: 715 SW Ramsey Ave, Grants Pass, OR 97527-5500

Authorised official

Name: Susan Boldt
Title: Operations Director
Phone: (541) 474-5579

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Oregon →

Registry record

NPI: 1366865495
Entity type: Organization
NPI issued: 24 Jan 2014
Record last updated: 24 Jan 2014

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.