Klamath Youth Development Center

LBN: Klamath Child And Family Treatment Center
Klamath Youth Development Center is an health care organization with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601-6418. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Klamath Child And Family Treatment Center can be contacted via phone (541) 883-1030, or through Gilbert, Stanley Dale via phone (541) 883-1030.

Contact Information

Primary practice address
2210 N Eldorado Ave Klamath Falls OR 97601-6418
Phone: (541) 883-1030
Fax: (541) 884-2338
Website:
Map and Directions
Authorized official contact:
Name: Gilbert, Stanley Dale LPC, LMFT
Phone: (541) 883-1030

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X Oregon

Profile Details

NPI number 1902830524
LBN Legal business name Klamath Child And Family Treatment Center
DBA Doing business as Klamath Youth Development Center
Authorized official Gilbert, Stanley Dale LPC, LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902830524 NPPES
Oregon MEDICAID 223354

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