National Provider Identifier Database

WILDERNESS ALTERNATIVE SCHOOL INC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

WILDERNESS ALTERNATIVE SCHOOL, INC
200 HUBBART DAM RD
MARION, MT59925-9708
Phone: 406-854-2832
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for WILDERNESS ALTERNATIVE SCHOOL, INC

NPI Number 1144372012
Legal business name
LBN
WILDERNESS ALTERNATIVE SCHOOL, INC
Authorized official JOHN BREKKE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/18/2007
Last updated 02/21/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MT License #: 10132
  • MT Other: 02662 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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