| Glacier Clinic LLC | |
|
99 Mills Spring Rd Ste 1 Eureka MT 59917 | |
| (406) 794-9515 | |
| Not Available |
| Full Name | Glacier Clinic LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 99 Mills Spring Rd Ste 1, Eureka, Montana |
| Authorized Official Name and Position | Chad Kingery (DIRECTOR OF COUNSELING) |
| Authorized Official Contact | 4067949515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glacier Clinic LLC 505 2nd St E Kalispell MT 59901-4515 Ph: (406) 794-9515 | Glacier Clinic LLC 99 Mills Spring Rd Ste 1 Eureka MT 59917 Ph: (406) 794-9515 |
| NPI Number | 1265921639 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 05/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265921639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 261Q00000X | Clinic/center | () | Primary |
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