Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KLAMATH LAKE COUNTY YOUTH RANCH
Active OrganizationResidential Treatment, Emotionally Disturbed Children · BONANZA, OR
Registration Details
- NPI Number
- 1528499696
- Provider Type
- Organization
- NPI Issued
- Nov 27, 2013 (12.399912995737 yrs)
- Last Updated
- Nov 27, 2013
- License
-
0138 (OR)
Practice Information
- Address
-
5800 HAPPY HOLLOW LNBONANZA, OR, 976237714Browse OR providers · Browse ZIP 97623
- Phone
- 5415456742
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.