Lake County Chemical Dependency Program

NPI #1619909488 in Polson, Montana

Provider Information

NPI Number: 1619909488
Entity Type: Organization
Organization Name: Lake County Chemical Dependency Program
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Jul 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 802 MAIN ST STE C
City: Polson
State: Montana
ZIP Code: 59860-3200
Phone: (406) 883-7310

Authorized Official

Name: THERESA OAKLAND, M.S. LAC
Title: DIRECTOR
Phone: (406) 883-7310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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