OrganizationActive
Bob Belloni Ranch, Inc.
NPI 1093040693 · Emotionally Disturbed Childrens' Residential Treatment Facility · Coos Bay, OR
Provider details
- NPI number
- 1093040693
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Roger Langlie, Executive Director
- License
- 43 (OR)
Practice location
320 Central Ave Ste 406
Coos Bay, OR 97420-2241
Phone: (541) 269-0321
Mailing address
320 Central Ave Ste 406
Coos Bay, OR 97420-2241
Registry dates
- Enumerated
- 2009-10-15
- Last updated
- 2013-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.