La Pine Ktc, LLC
La Pine Ktc, LLC is a Substance Abuse Rehabilitation Facility in LA Pine, Oregon. Licensed in Oregon. Registered with an NPI since 2015.
- Licensed in
- OR
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16161 Burgess RdLA Pine, OR 97739-9533
Phone: (509) 668-8008
Fax: (503) 432-8913
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
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X (OR) |
|---|
Record details
| NPI number | 1700258258 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | White Rabbit Partners |
| Authorized official | Milton Parham — Chief Business Development Officer · (509) 668-8008 |
| Other names | Klean La Pine |
| NPI enumerated | October 23, 2015 |
| Last updated in NPPES | October 23, 2015 |
| Mailing address | 16161 Burgess Rd, La Pine, OR 97739-9533 |