| NPI | 1295857977 |
|---|---|
| Other Name | POLK COUNTY MENTAL HEALTH ADDICTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE KLEIN Addictions Counselor 503-623-9289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 04-R-19) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-08-14 |