| Cccs Smart Program | |
|
630 W Mercury St Butte MT 59701-1510 | |
| (406) 299-3448 | |
| (406) 299-3450 |
| Full Name | Cccs Smart Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 630 W Mercury St, Butte, Montana |
| Authorized Official Name and Position | Jeni Leigh Nichols (LICENSED ADDICTION COUNSELOR) |
| Authorized Official Contact | 4062993448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cccs Smart Program 630 W Mercury St Butte MT 59701-1510 Ph: (406) 299-3448 | Cccs Smart Program 630 W Mercury St Butte MT 59701-1510 Ph: (406) 299-3448 |
| NPI Number | 1093162257 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093162257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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