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1601 2nd Ave N Ste 700 Great Falls MT 59401-3288 | |
(406) 205-0452 | |
(406) 545-2276 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1601 2nd Ave N Ste 700, Great Falls, Montana |
Authorized Official Name and Position | Brett Edward Gilleo (OWNER) |
Authorized Official Contact | 4062402045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 6451 Great Falls MT 59406-6451 Ph: (406) 240-2045 | 1601 2nd Ave N Ste 700 Great Falls MT 59401-3288 Ph: (406) 205-0452 |
NPI Number | 1588966584 |
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Provider Enumeration Date | 11/23/2010 |
Last Update Date | 02/25/2023 |
Certification Date | 08/14/2020 |
Identifier | Type | State | Issuer |
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1588966584 | NPI | - | NPPES |
1588966584 | Medicaid | MT |
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