Klamath Child and Family Treatment Center

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

172V00000X Issued in OR

Legal business name

KLAMATH CHILD AND FAMILY TREATMENT CENTER

Practice address

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Phone

(541) 883-1028

NPI assigned

Jun 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nena Inman

Title

Residential Specialist

Phone

(541) 887-2391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Klamath Youth Development Center Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1003296740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 N ELDORADO AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016418",
            "telephone_number": "541-883-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 N ELDORADO AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016418",
            "telephone_number": "541-883-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH CHILD AND FAMILY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "NENA",
        "authorized_official_title_or_position": "RESIDENTIAL SPECIALIST",
        "authorized_official_telephone_number": "541-887-2391"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OR",
            "license": "172V00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON PROFIT",
            "identifier": "172V00000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klamath Youth Development Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Klamath Alcohol & Drug Abuse
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• Klamath Child & Family Treatment Center
• Klamath Child and Family Treatment Center
• Klamath Child and Family Treatment Center
• Klamath Child and Family Treatment Center
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• Klamath Chiropractic Physicians

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.