| Southern Cascade Behavioral Health Llc | |
|
5644 Mason Ln Klamath Falls OR 97601-9379 | |
| (541) 591-6658 | |
| Not Available |
| Full Name | Southern Cascade Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5644 Mason Ln, Klamath Falls, Oregon |
| Authorized Official Name and Position | Alexander Wilson (SYSTEM ADMINISTRATOR) |
| Authorized Official Contact | 5415916914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Cascade Behavioral Health Llc 5644 Mason Ln Klamath Falls OR 97601-9379 Ph: () - | Southern Cascade Behavioral Health Llc 5644 Mason Ln Klamath Falls OR 97601-9379 Ph: (541) 591-6658 |
| NPI Number | 1083337877 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083337877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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