Western Montana Addiction Services

NPI 1558661520 - Substance Abuse Rehabilitation Facility - 3245S0500X

NPI Details
NPI 1558661520
Enumeration Date 10/25/2010
Last Updated 10/25/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MIRANDA MIRANDA
Position OPERATIONS MANAGER
Phone (406) 532-9867
Fax (406) 541-3032
Practice Location
1467 HAYES DR
MISSOULA MT, 59808-1231, US
Phone (406) 532-9867
Fax (406) 541-3032
Business Location
1467 HAYES DR
MISSOULA MT, 59808-1231, US
Phone (406) 532-8952
Fax (406) 543-6751
Toxanomy
Taxonomy Code 3245S0500X
License State Montana
License Number 12423
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According to our database, Western Montana Addiction Services NPI is 1558661520, taxonomy code is 3245S0500X and license number is 12423, license state is located at Montana. Western Montana Addiction Services physically located at 1467 Hayes Dr, Missoula MT, 59808-1231. NPI Number 1033115704 has the healthcare provider type.

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1558661520 NPI number is provided on an as is basis without warranty of any kind. 1558661520 is maintained by the National Plan & Provider Enumeration System. The contents of Western Montana Addiction Services are for informational purposes only.