Polk County Mental Health

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1770603532

Polk County Mental Health is a Substance Use Disorder Rehabilitation Clinic/Center in Dallas, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in: OR
In the registry since: 2007

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Practice location Address checks out

182 SW Academy St Ste 304
Dallas, OR 97338-1900
Phone: (503) 623-9289
Fax: (503) 831-1726

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary)	Taxonomy 261QR0405X · Licence 00-07-15 (OR)

Record details

NPI number	1770603532
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Sergio Gutierrez — Mental Health Counselor I · (503) 623-9289
NPI enumerated	March 29, 2007
Last updated in NPPES	July 2, 2008
Mailing address	182 Sw Academy St Ste 304, Dallas, OR 97338-1900