DBA Phc Russell Elementary
NPI #1215769906 in Missoula, Montana
Provider Information
- NPI Number
- 1215769906
- Entity Type
- Organization
- Organization Name
- DBA Phc Russell Elementary
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 20, 2024
- Last Updated
- Feb 21, 2025
Practice Location
Authorized Official
- Name
- LARA SALAZAR
- Title
- BILLING MANAGER
- Phone
- (406) 258-3360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
| Counselor - Mental Health — Mental Health |
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