State of Montana

NPI #1497765150 in Butte, Montana

Provider Information

NPI Number: 1497765150
Entity Type: Organization
Organization Name: State of Montana
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Aug 8, 2006
Last Updated: Feb 26, 2024

Practice Location

Address: 525 E MERCURY ST
City: Butte
State: Montana
ZIP Code: 59701-1911
Phone: (406) 496-5407

Authorized Official

Name: MRS. ALEASHA MARTIN
Title: FACILITY REIMBURSEMENT MANAGER
Phone: (406) 444-3416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Psychiatry & Neurology - Addiction Psychiatry — Addiction Psychiatry	2084P0802X
Substance Abuse Rehabilitation Facility	324500000X	Primary

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