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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1548659113 |
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| LBN Legal business name | WESTERN MONTANA MENTAL HEALTH CENTER | ||||||||
| Authorized official | JODI DALY - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/20/2015 | ||||||||
| Last updated | 02/16/2018 - About 8 years ago | ||||||||
| Identifiers |
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