OrganizationActive
Polk Youth Services, Inc.
NPI 1427414895 · Emotionally Disturbed Childrens' Residential Treatment Facility · Dallas, OR
Provider details
- NPI number
- 1427414895
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Valencia, Executive Director/President(503) 623-3310
- License
- 0243 (OR)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
175 Ne Kings Valley Hwy Ste a
Dallas, OR 97338-1787
Phone: (503) 623-3310
Approximate (ZIP-level) locationGet directions
Mailing address
175 Ne Kings Valley Hwy Ste a
Dallas, OR 97338-1787
Registry dates
- Enumerated
- 2016-01-14
- Last updated
- 2016-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.