NPI 1396172375

Klamath Youth Development Center

Organisation Mental Illness Community Based Residential Treatment Facility Klamath Falls, OR

Practice location

Address: 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418
Phone: (541) 883-1030

Authorised official

Name: Jenny Ellen Wheeler
Title: Transition Cordinator Sbs
Phone: (541) 591-5604

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: 1396172375
Entity type: Organization
NPI issued: 4 Oct 2013
Record last updated: 4 Oct 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.