Polk County Mental Health

NPI #1457477333 in Dallas, Oregon

Provider Information

NPI Number
1457477333
Entity Type
Organization
Organization Name
Polk County Mental Health
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
182 SW ACADEMY ST
Address 2
SUITE 304
City
Dallas
State
Oregon
ZIP Code
97338-1922
Phone
(503) 623-9289

Authorized Official

Name
DR. DAVID MANITSAS, PSY.D.
Title
SUPERVISOR
Phone
(503) 623-9289

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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