Organization · Type 2 NPI

Polk Adolescent Day Treatment Center Inc

Community/Behavioral Health Agency · Dallas, OR

NPI number 1922175496 Active

Practice location

2200 E Ellendale
Dallas, OR 97338

Fax (503) 623-5588

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: 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 suppo…

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About NPI 1922175496

Polk Adolescent Day Treatment Center Inc's National Provider Identifier is 1922175496, issued on Nov 29, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Dallas, OR. The record was last updated on Mar 7, 2013.