| White Buffalo Healing Lodge | |
|
1941 Harrison Ave Ste B Butte MT 59701-5499 | |
| (406) 221-7435 | |
| Not Available |
| Full Name | White Buffalo Healing Lodge |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1941 Harrison Ave Ste B, Butte, Montana |
| Authorized Official Name and Position | Mandi Boston (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4062217435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Buffalo Healing Lodge 1941 Harrison Ave Ste B Butte MT 59701-5499 Ph: (406) 221-7435 | White Buffalo Healing Lodge 1941 Harrison Ave Ste B Butte MT 59701-5499 Ph: (406) 221-7435 |
| NPI Number | 1740980291 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740980291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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