| Western Montana Mental Health Center | |
|
1315 Wyoming St Missoula MT 59801-1725 | |
| (406) 432-9700 | |
| (406) 541-3035 |
| Full Name | Western Montana Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1315 Wyoming St, Missoula, Montana |
| Authorized Official Name and Position | Kimberley Michelle Petersen (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 4065329700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Montana Mental Health Center 1315 Wyoming Street Missoula MT 59801 Ph: () - | Western Montana Mental Health Center 1315 Wyoming St Missoula MT 59801-1725 Ph: (406) 432-9700 |
| NPI Number | 1164849345 |
|---|---|
| Provider Enumeration Date | 03/25/2014 |
| Last Update Date | 03/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164849345 | NPI | - | NPPES |
| 1508000878 | Other | MT | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 25102 (Montana) | Primary |
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