Klamath Child and Family Treatment Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

93-0753926 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) 883-1030

NPI assigned

Oct 8, 2015

Organization subpart

No

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

Authorized official

Name

Karena Kay Mendoza

Title

Resident Care Aid

Phone

(541) 892-4655

Specialties & licenses 1

Addresses

Other names 1

• Klamath Basin Behavior Health Doing business as

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1861863409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13907 RAVENWOOD DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019591",
            "telephone_number": "541-892-4655"
        },
        {
            "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": "541-883-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH CHILD AND FAMILY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "KARENA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "RESIDENT CARE AID",
        "authorized_official_telephone_number": "541-892-4655"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "93-0753926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klamath Basin Behavior Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Klamath Audiology
• Klamath Behavorial Health and Wellness
• Klamath Birth Center
• Klamath Child & Family Treatment Center
• Klamath Child and Family Treatment Center
• Klamath Child and Family Treatment Center
• Klamath Child and Family Treatment Center
• Klamath Child Nad Family Treatment Center
• Klamath Chiropractic Physicians
• Klamath Counseling Services

• Community/Behavioral Health Agency in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.