Gerald Polk, CDCA - Shelby, OH

Gerald Polk, CDCA

Children's Substance Abuse Rehabilitation Facility in Shelby, Ohio

NPI 1831696970

Gerald Polk is a Children's Substance Abuse Rehabilitation Facility based in Shelby, OH and is specialized in Substance Abuse Treatment, Children. Gerald Polk practices in Shelby, OH and has the professional credentials of CDCA. The NPI Number for Gerald Polk is 1831696970 and holds a License No. (Ohio).

The current practice location address for Gerald Polk is 2775 State Route 39, Shelby, OH and can be reached out via phone at 419-747-3322.

Location: 2775 State Route 39, Shelby, OH, 44875-9466

NPI Number

1831696970

Provider Name

Gerald Polk

Credential

CDCA

Provider Entity Type

Individual

Gender

Male

Address

2775 State Route 39, Shelby, OH, 44875-9466

Phone Number

419-747-3322

Fax Number

Provider Enumeration Date

04/06/2018

Last Update Date

03/10/2024

Address

2775 State Route 39

City

Shelby

State

Ohio

Zip

44875-9466

Phone Number

419-747-3322

Fax Number

Address

2775 State Route 39

City

Shelby

State

Ohio

Zip

44875-9466

Phone Number

419-747-3322

Fax Number

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Substance Abuse Treatment, Children

Taxonomy

3245S0500X

License No.

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Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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