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La Pine Ktc, Llc
Substance Abuse Rehabilitation Facility in La Pine, Oregon
NPI 1700258258

La Pine Ktc, Llc is a Substance Abuse Rehabilitation Facility based in La Pine, OR. La Pine Ktc, Llc practices in La Pine, OR. The NPI Number for La Pine Ktc, Llc is 1700258258 and holds a License No. (Oregon).

The current practice location address for La Pine Ktc, Llc is 16161 Burgess Rd, La Pine, OR and can be reached out via phone at 509-668-8008 and via fax at 503-432-8913.

Location: 16161 Burgess Rd, La Pine, OR, 97739-9533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700258258
Provider Name
La Pine Ktc, Llc
Credential
Provider Entity Type
Organization
Address
16161 Burgess Rd, La Pine, OR, 97739-9533
Phone Number
509-668-8008
Fax Number
503-432-8913
Provider Enumeration Date
10/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16161 Burgess Rd
City
La Pine
State
Oregon
Zip
97739-9533
Phone Number
509-668-8008
Fax Number
503-432-8913
person
Provider Business Mailing Address Details
Address
16161 Burgess Rd
City
La Pine
State
Oregon
Zip
97739-9533
Phone Number
509-668-8008
Fax Number
503-432-8913
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Oregon)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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