Klamath Lake County Youth Ranch
Klamath Lake County Youth Ranch is an Emotionally Disturbed Childrens' Residential Treatment Facility in Bonanza, Oregon. Licensed in Oregon. Registered with an NPI since 2013.
- Licensed in
- OR
- In the registry since
- 2013
Practice location Address checks out
5800 Happy Hollow LnBonanza, OR 97623-7714
Phone: (541) 545-6742
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence 0138 (OR) |
|---|
Record details
| NPI number | 1528499696 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Thompson — Program Director · (541) 545-6742 |
| NPI enumerated | November 27, 2013 |
| Last updated in NPPES | November 27, 2013 |
| Mailing address | 5800 Happy Hollow Ln, Bonanza, OR 97623-7714 |