Polk Youth Services, Inc.

NPI #1427414895 in Dallas, Oregon

Provider Information

NPI Number: 1427414895
Entity Type: Organization
Organization Name: Polk Youth Services, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jan 14, 2016
Last Updated: Jan 14, 2016

Practice Location

Address: 175 NE KINGS VALLEY HWY STE A
City: Dallas
State: Oregon
ZIP Code: 97338-1787
Phone: (503) 623-3310

Authorized Official

Name: DAVID JAMES VALENCIA, MS
Title: EXECUTIVE DIRECTOR/PRESIDENT
Phone: (503) 623-3310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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