| Mountain Home Montana, Inc. | |
|
2606 South Ave W Missoula MT 59804-6406 | |
| (406) 541-4663 | |
| (406) 541-4662 |
| Full Name | Mountain Home Montana, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2606 South Ave W, Missoula, Montana |
| Authorized Official Name and Position | Beth Brewer (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4065414663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Home Montana, Inc. 2606 South Ave W Missoula MT 59804-6406 Ph: (406) 541-4663 | Mountain Home Montana, Inc. 2606 South Ave W Missoula MT 59804-6406 Ph: (406) 541-4663 |
| NPI Number | 1265752034 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265752034 | NPI | - | NPPES |
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