| Klamath Youth Development Center | |
|
2210 N Eldorado Ave Klamath Falls OR 97601-6418 | |
| (541) 883-1030 | |
| Not Available |
| Full Name | Klamath Youth Development Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2210 N Eldorado Ave, Klamath Falls, Oregon |
| Authorized Official Name and Position | Andrea Danielle Pfeffen (SKILLS BUILDER) |
| Authorized Official Contact | 5305268311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klamath Youth Development Center 531 N 8th St Klamath Falls OR 97601-2908 Ph: (530) 526-8311 | Klamath Youth Development Center 2210 N Eldorado Ave Klamath Falls OR 97601-6418 Ph: (541) 883-1030 |
| NPI Number | 1639515018 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 05/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639515018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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