Kelly Ewalt, INC
NPI #1114770591 in Columbia Falls, Montana
Provider Information
- NPI Number
- 1114770591
- Entity Type
- Organization
- Organization Name
- Kelly Ewalt, INC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Apr 8, 2024
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 305 1ST AVE W
- City
- Columbia Falls
- State
- Montana
- ZIP Code
- 59912-3625
- Phone
- (406) 249-9153
Authorized Official
- Name
- KELLY EWALT
- Title
- OWNER
- Phone
- (406) 249-9153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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