Kairos Northwest
Community/Behavioral Health in Grants Pass, OR. Organization (NPI-2).
NPI number1487782900
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1487782900
- Entity type
- Organization (NPI-2)
- Legal business name
- Kairos Northwest
- Organization subpart
- No
- Enumeration date
- Feb 28, 2007
- Certification date
- Sep 2, 2022
- Last updated
- Sep 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 38L011 | OR | Yes |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 38L011 | OR | |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 38L011 | OR | |
| 323P00000X | Psychiatric Residential Treatment Facility | 38L011 | OR |
Other names
- Kairos (Doing Business As)
Practice location
1750 Nebraska AveGrants Pass, OR 97527-5700
Phone 541-956-4943 · Fax 541-956-5463
Mailing address
1750 Nebraska AveGrants Pass, OR 97527-5700
Phone 541-956-4943 · Fax 541-956-5463
Other practice locations
10 Crater Lake Ave
Medford, OR 97504-7445
Medford, OR 97504-7445
Phone 541-956-4943
Authorized official
Silence Casavant
Hr Director
5419564943
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All 9 Community/Behavioral Health Agency providers in Grants Pass · All 2,537 providers in Grants Pass
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