Gerald Polk, CDCA
Gerald Polk, CDCA is a Children's Substance Abuse Rehabilitation Facility in Shelby, Ohio. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2775 State Route 39Shelby, OH 44875-9466
Phone: (419) 747-3322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Children's Substance Abuse Rehabilitation Facility (primary) | Taxonomy 3245S0500X |
|---|
Record details
| NPI number | 1831696970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | Yes |
| NPI enumerated | April 6, 2018 |
| Last updated in NPPES | April 6, 2018 |
| Mailing address | 2775 State Route 39, Shelby, OH 44875-9466 |
Other providers in Shelby
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Bryan K Hall, CDCA
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
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Mitchell Hall, CDCA
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
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Robert Newhon, CDCA
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
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Mr. Bradford Russell Noland, CDCA
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
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Dustin James Pridemore, CDCA
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
-
Jay Jason Summers, CDCA
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322