Polk County Mental Health

NPI #1770603532 in Dallas, Oregon

Provider Information

NPI Number
1770603532
Entity Type
Organization
Organization Name
Polk County Mental Health
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Mar 29, 2007
Last Updated
Jul 2, 2008

Practice Location

Address
182 SW ACADEMY ST STE 304
City
Dallas
State
Oregon
ZIP Code
97338-1900
Phone
(503) 623-9289

Authorized Official

Name
SERGIO GUTIERREZ
Title
MENTAL HEALTH COUNSELOR I
Phone
(503) 623-9289

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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