Organization
MID VALLEY SRTF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ENGBRECHT (GENERAL COUNSEL)
(858) 254-2510
Entity
Organization
Contact information
Practice address
387 LANCASTER DR SE, SALEM, OR 97317-5336
(208) 346-7807
Mailing address
PO BOX 12125, PORTLAND, OR 97212-0125
(208) 346-7807
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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