institution
Polk County Mental Health
Substance Use Disorder Rehabilitation Clinic/Center in Dallas, Oregon
NPI 1770603532

Polk County Mental Health is a Substance Use Disorder Rehabilitation Clinic/Center based in Dallas, OR and is specialized in Rehabilitation, Substance Use Disorder. Polk County Mental Health practices in Dallas, OR. The NPI Number for Polk County Mental Health is 1770603532 and holds a License No. 00-07-15 (Oregon).

The current practice location address for Polk County Mental Health is 182 Sw Academy St Ste 304, Dallas, OR and can be reached out via phone at 503-623-9289 and via fax at 503-831-1726.

Location: 182 Sw Academy St Ste 304, Dallas, OR, 97338-1900
institution
Provider Profile Details
NPI Number
1770603532
Provider Name
Polk County Mental Health
Credential
Provider Entity Type
Organization
Address
182 Sw Academy St Ste 304, Dallas, OR, 97338-1900
Phone Number
503-623-9289
Fax Number
503-831-1726
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00-07-15 01 OR CADC I
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St Ste 304
City
State
Zip
97338-1900
Phone Number
503-623-9289
Fax Number
503-831-1726
person
Provider Business Mailing Address Details
Address
182 Sw Academy St Ste 304
City
State
Zip
97338-1900
Phone Number
503-623-9289
Fax Number
503-831-1726
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
00-07-15 (Oregon)
Definition
Definition to come...
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