institution
Polk Adolescent Day Treatment Center Inc
Community/Behavioral Health Agency in Dallas, Oregon
NPI 1922175496

Polk Adolescent Day Treatment Center Inc is a Community/Behavioral Health Agency based in Dallas, OR. Polk Adolescent Day Treatment Center Inc practices in Dallas, OR. The NPI Number for Polk Adolescent Day Treatment Center Inc is 1922175496 and holds a License No. (Oregon).

The current practice location address for Polk Adolescent Day Treatment Center Inc is 2200 E Ellendale, Dallas, OR and can be reached out via phone at 503-623-5588 and via fax at 503-623-5588. You can also correspond with Polk Adolescent Day Treatment Center Inc through the mailing address at 2200 E ELLENDALE, DALLAS, OR - 97338 (mailing address contact number: 503-623-5588).

Location: 2200 E Ellendale, Dallas, OR, 97338
institution
Provider Profile Details
NPI Number
1922175496
Provider Name
Polk Adolescent Day Treatment Center Inc
Credential
Provider Entity Type
Organization
Address
2200 E Ellendale, Dallas, OR, 97338
Phone Number
503-623-5588
Fax Number
503-623-5588
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
297982 01 OR PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2200 E Ellendale
City
State
Zip
97338
Phone Number
503-623-5588
Fax Number
503-623-5588
person
Provider Business Mailing Address Details
Address
2200 E Ellendale
City
State
Zip
97338
Phone Number
503-623-5588
Fax Number
503-623-5588
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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