NPI 1427414895

Polk Youth Services, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Dallas, OR

Practice location

Address: 175 NE Kings Valley Hwy STE a, Dallas, OR 97338-1787
Phone: (503) 623-3310

Authorised official

Name: David James Valencia
Title: Executive Director/President
Phone: (503) 623-3310

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 0243 (OR)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oregon →

Registry record

NPI: 1427414895
Entity type: Organization
NPI issued: 14 Jan 2016
Record last updated: 14 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.