Polk County Mental Health in Salem - Addiction (substance Use Disorder)
Polk County Mental Health - NPI 1295857977
Polk County Mental Health is a Addiction (substance Use Disorder) in Salem, Oregon. Polk County Mental Health practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Polk County Mental Health is 1295857977. The last update date is 2008-08-14.
Polk County Mental Health's current location address is 557 21st St Se, Salem, Oregon. You can contact this provider via phone number 5039910226. The mailing address for Polk County Mental Health is 557 21st St Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Polk County Mental Health |
|---|---|
| Address | 557 21st St Se, Salem, Oregon |
| Phone Number | 5039910226 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADDICTIONS |
|---|---|
| Authorized Official Name | Klein Marie Susan |
| Credentials | CADC-II QM |
| Telephone Number | 5036239289 |
NPI Number Detail
| NPI Number | 1295857977 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 557 21st St Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973016526 |
| Phone Number | 5039910226 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 04-R-19 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 04-R-19 | OR | CADC-II ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Polk County Mental Health by the Centers for Medicare & Medicaid Services?
The Polk County Mental Health has been assigned the NPI (National Provider Identifier) 1295857977 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Polk County Mental Health located?
The Polk County Mental Health is located at 557 21St St Se, Salem, OR 973016526.
What is Polk County Mental Health's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Polk County Mental Health's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
When did Polk County Mental Health receive its 1295857977 assignment?
The Polk County Mental Health was assigned its 1295857977 on 2007-04-04, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Polk County Mental Health most recently updated or revised?
The details related to Polk County Mental Health, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-14.