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KLAMATH YOUTH DEVELOPMENT CENTER
NPI 1578991709
Community/Behavioral Health in Klamath Falls, OR

Active since October 25, 2013
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601(541) 883-1030 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Klamath Youth Development Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLAMATH YOUTH DEVELOPMENT CENTER (NPI 1578991709) is a healthcare organization registered as a community/behavioral health in Klamath Falls, Oregon and active in the NPI registry since October 2013. The organization lists Ashley Hanna Waldron, Treatment Specialist, as its authorized official.

NPPES Registry Identity

NPI1578991709
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKLAMATH YOUTH DEVELOPMENT CENTER
Location Address2210 N ELDORADO AVEKlamath Falls, OR 97601
Mailing Address1527 Lookout AveKlamath Falls, OR 97601 · (541) 892-2221
Phone(541) 883-1030
Organization SubpartNo
Authorized OfficialAshley Hanna WaldronTreatment Specialist · (541) 883-1030
Enumeration DateOctober 25, 2013
✔ NPI 1578991709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2210 N ELDORADO AVE, Klamath Falls, OR 97601
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Other Identifiers 1

Medicaid223354OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA R POTTER BSW
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
STANLEY GILBERT LPC,LMFT, MFT
Counselor (Mental Health)
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
MR. HENRY JOHN VESTER III M.A.
Marriage & Family Therapist
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
LISA RUTTER B.S.
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
RITA C WHITE B.S.
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
KIM GLIDEWELL QMHA
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
MRS. ALISON OTIS WATAH MA
Counselor (Mental Health)
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
MS. AMY ELIZABETH BOIVIN MA
Counselor (Mental Health)
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Klamath Youth Development Center's NPI number?

The NPI number for Klamath Youth Development Center is 1578991709. It was assigned to this organization in the NPPES registry on October 25, 2013.

Where is Klamath Youth Development Center located?

Klamath Youth Development Center is located at 2210 N Eldorado Ave, Klamath Falls, OR 97601. The listed phone number is (541) 883-1030.

What is Klamath Youth Development Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Klamath Youth Development Center was last updated on October 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.