Organization Name: | KLAMATH CHILD AND FAMILY TREATMENT CENTER |
NPI Number: | 1992949796 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH MADDALENA (DIRECTOR OF OPERATIO) |
Mailing Address: | 725 Washburn Way Klamath Falls |
State: | OR US |
Postal Code: | 976033648 |
Phone Number: | 5418831030 |
Fax Number: | 5418842338 |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |