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600 Central Ave Ste 408 Great Falls MT 59401-3141 | |
| (541) 231-0850 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 600 Central Ave Ste 408, Great Falls, Montana |
| Authorized Official Name and Position | Theo Hanson (CO-OWNER) |
| Authorized Official Contact | 5412310850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
809 6th Ave N Great Falls MT 59401-1541 Ph: (541) 231-0850 | 600 Central Ave Ste 408 Great Falls MT 59401-3141 Ph: (541) 231-0850 |
| NPI Number | 1922703370 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922703370 | NPI | - | NPPES |
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