Dragonfly Adventures, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

DRAGONFLY ADVENTURES, INC

Practice address

919 High St
Klamath Falls, OR 97601-2830

Phone

(541) 850-0841

Fax

(866) 341-3053

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Mona Treadway, MSW, CADC I

Title

Owner

Phone

(541) 850-0841

Specialties & licenses 1

Addresses

Other names 1

• Dragonfly Transitions Doing business as

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1053563403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIGH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012830",
            "telephone_number": "541-850-0841",
            "fax_number": "866-341-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 HIGH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012830",
            "telephone_number": "541-850-0841",
            "fax_number": "866-341-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY ADVENTURES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "TREADWAY",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-850-0841",
        "authorized_official_credential": "MSW, CADC I"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dragonfly Transitions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas H. Todd, M.D., P.C.
• Jacob Junior Dove, DDS
• William Dowling
• Danny Downing, LPN
• Kenneth Downs, FNP
• Dragonfly Programs, LLC
• Dragonfly Programs, LLC
• Dragonfly Programs, LLC
• Dragonfly Programs, LLC
• Dragonfly Programs, LLC

• Mental Illness Community Based Residential Treatment Facility in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.