Boule Sophia LLC

NPI #1881290302 in Polson, Montana

Provider Information

NPI Number: 1881290302
Entity Type: Organization
Organization Name: Boule Sophia LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 41582 BAYPOINT RD
City: Polson
State: Montana
ZIP Code: 59860-8584
Phone: (406) 491-2898

Authorized Official

Name: ERIKA ANNE WEBER, LCSW
Title: OWNER/PROVIDER
Phone: (406) 491-2898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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