Rad Independence

NPI #1013754001 in Ronan, Montana

Provider Information

NPI Number: 1013754001
Entity Type: Organization
Organization Name: Rad Independence
Primary Specialty: Community Health Worker
Enumeration Date: Jul 9, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 41580 WHISPERING PINES DR
City: Ronan
State: Montana
ZIP Code: 59864-9337
Phone: (406) 203-2479

Authorized Official

Name: MRS. JESSICA D BARNETTE
Title: CHIEF EXECUTIVE OFFICE
Phone: (406) 203-2479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Community Health Worker	172V00000X	Primary

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