Polk Adolescent Day Treatment Center Inc

LBN: Polk Adolescent Day Treatment Center Inc
Polk Adolescent Day Treatment Center Inc is an health care organization with primary practice located at 2200 E Ellendale , Dallas OR 97338. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Polk Adolescent Day Treatment Center Inc can be contacted via phone (503) 623-5588, or through Strasser, Daniel via phone (503) 623-5588.

Contact Information

Primary practice address
2200 E Ellendale Dallas OR 97338
Fax: (503) 623-5588
Website:
Authorized official contact:
Name: Strasser, Daniel MC

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1922175496
LBN Legal business name Polk Adolescent Day Treatment Center Inc
DBA Doing business as
Authorized official Strasser, Daniel MC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Mar 7th, 2013 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922175496 NPPES
Oregon Other 297982 PROVIDER NUMBER

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