Polk County Mental Health

LBN: Polk County Mental Health
Polk County Mental Health is an health care organization with primary practice located at 182 Sw Academy St Suite 304, Dallas OR 97338-1922. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Polk County Mental Health can be contacted via phone (503) 623-9289, or through Manitsas, David via phone (503) 623-9289.

Contact Information

Primary practice address
182 Sw Academy St Suite 304 Dallas OR 97338-1922
Phone: (503) 623-9289
Fax: (503) 831-1726
Website:
Map and Directions
Authorized official contact:
Name: Manitsas, David PSY.D.
Phone: (503) 623-9289

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1457477333
LBN Legal business name Polk County Mental Health
DBA Doing business as
Authorized official Manitsas, David PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 22nd, 2020 - about 6 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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