| Inner Roads, Inc | |
|
734 S 1st St W Missoula MT 59801-1844 | |
| (585) 330-0780 | |
| Not Available |
| Full Name | Inner Roads, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 734 S 1st St W, Missoula, Montana |
| Authorized Official Name and Position | Gabrielle Shulman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5853300780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Roads, Inc 734 S 1st St W Missoula MT 59801-1844 Ph: () - | Inner Roads, Inc 734 S 1st St W Missoula MT 59801-1844 Ph: (585) 330-0780 |
| NPI Number | 1992262950 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992262950 | NPI | - | NPPES |
| 7222705 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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