Organization
ONTRACK, INC.
Active
Parent organization
ONTRACK, INC.
Other names
OnTrack Rogue Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONTRACK, INC.
Authorized official
MR. ALAN LEDFORD PHD (EXECUTIVE DIRECTOR)
(541) 200-2414
Entity
Organization
Contact information
Practice address
300 W. MAIN STREET, MEDFORD, OR 97501
(541) 772-1777
(541) 724-2410
Mailing address
300 W. MAIN STREET, MEDFORD, OR 97501
(541) 772-1777
(541) 724-2410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
L1777
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
L3421
OR
103TC1900X
Counseling Psychologist
131998
OR
1041C0700X
Clinical Social Worker
L1777
OR
1041C0700X
Clinical Social Worker
L3421
OR
106H00000X
Marriage & Family Therapist
T0056
OR
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
193813
OR
3245S0500X
Children's Substance Abuse Rehabilitation Facility
193813
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020740000
BLUE CROSS/SHIELD
OR
01
—
117388
MHN
OR
05
—
193813
—
OR
01
—
H2152-01
PACIFICSOURCE
OR
Enumeration date
11/04/2005
Last updated
03/12/2019
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