Individual provider · Type 1 NPI

Gerald Polk, CDCA

Children's Substance Abuse Rehabilitation Facility · Shelby, OH

NPI number 1831696970 Active

Practice location

2775 State Route 39
Shelby, OH 44875-9466

Call (419) 747-3322 Map

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's Substance Abuse Rehabilitation Facility: 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.

202 other providers at this address

Other children's substance abuse rehabilitation facility providers in Shelby

See all in Shelby →

About NPI 1831696970

Gerald Polk, CDCA's National Provider Identifier is 1831696970, issued on Apr 6, 2018. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Shelby, OH. The record was last updated on Apr 6, 2018.