Triple Divide Lodge LLC
NPI #1104597939 in Marion, Montana
Provider Information
- NPI Number
- 1104597939
- Entity Type
- Organization
- Organization Name
- Triple Divide Lodge LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Sep 22, 2021
- Last Updated
- Sep 22, 2021
Practice Location
Authorized Official
- Name
- PATRICK HAWKINS, LAC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (406) 296-4272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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