| Polk Adolescent Day Treatment Center Inc | |
|
2200 E Ellendale Dallas OR 97338 | |
| (503) 623-5588 | |
| (503) 623-5588 |
| Full Name | Polk Adolescent Day Treatment Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2200 E Ellendale, Dallas, Oregon |
| Authorized Official Name and Position | Daniel Strasser (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5036235588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polk Adolescent Day Treatment Center Inc 2200 E Ellendale Dallas OR 97338 Ph: (503) 623-5588 | Polk Adolescent Day Treatment Center Inc 2200 E Ellendale Dallas OR 97338 Ph: (503) 623-5588 |
| NPI Number | 1922175496 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 03/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922175496 | NPI | - | NPPES |
| 297982 | Other | OR | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Oregon Recovery Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Sw Court St, Dallas, OR 97338 Phone: 503-304-4358 | |
Polk County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Clear Paths Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Sw Court, Dallas, OR 97338 Phone: 503-831-1423 Fax: 503-831-1573 | |
Polk County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Polk County Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 182 Sw Academy, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Polk County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Thrive Therapy & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Ne Evergreen Ave, Dallas, OR 97338 Phone: 503-383-1422 |