Eating Disorder Center of Montana

NPI #1922606920 in Bozeman, Montana

Provider Information

NPI Number: 1922606920
Entity Type: Organization
Organization Name: Eating Disorder Center of Montana
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 12, 2020
Last Updated: Oct 12, 2020

Practice Location

Address: 319 S WILLSON AVE
City: Bozeman
State: Montana
ZIP Code: 59715-4632
Phone: (406) 451-7370

Authorized Official

Name: JENI RUTH GOCHIN
Title: CLINICAL DIRECTOR
Phone: (805) 637-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist - Clinical — Clinical	103TC0700X
Social Worker - Clinical — Clinical	1041C0700X
Dietitian, Registered	133V00000X
Registered Nurse - General Practice — General Practice	163WG0000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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