OrganizationActive
La Pine Ktc, LLC
NPI 1700258258 · Substance Abuse Rehabilitation Facility · La Pine, OR
Provider details
- NPI number
- 1700258258
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- White Rabbit Partners
- Authorized official
- Milton Parham, Chief Business Development Officer
Practice location
16161 Burgess Rd
La Pine, OR 97739-9533
Phone: (509) 668-8008
Fax: (503) 432-8913
Mailing address
16161 Burgess Rd
La Pine, OR 97739-9533
Registry dates
- Enumerated
- 2015-10-23
- Last updated
- 2015-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.