Organization
MID-VALLEY HEALTHCARE, INC.
Active
Organization
MID-VALLEY HEALTHCARE, INC.
Active
Other names
Samaritan Behavioral Health & Recovery Clinic - Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RACKHAM (CEO-SLCH)
(541) 768-6768
Entity
Organization
Contact information
Practice address
100 MULLINS DR STE C1, LEBANON, OR 97355-2868
(541) 451-7450
Mailing address
100 MULLINS DR STE C1, LEBANON, OR 97355-2868
(541) 451-7450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
08/31/2016
Last updated
02/13/2025
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