| Dynamic Recovery | |
|
1601 2nd Ave N Ste 516 Great Falls MT 59401-3289 | |
| (406) 285-1007 | |
| Not Available |
| Full Name | Dynamic Recovery |
|---|---|
| Speciality | Clinic/Center |
| Location | 1601 2nd Ave N Ste 516, Great Falls, Montana |
| Authorized Official Name and Position | Megan Farmer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4062851007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Recovery 1601 2nd Ave N Ste 516 Great Falls MT 59401-3289 Ph: (406) 285-1007 | Dynamic Recovery 1601 2nd Ave N Ste 516 Great Falls MT 59401-3289 Ph: (406) 285-1007 |
| NPI Number | 1427767037 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 2365883733 |
|---|---|
| Medicare Enrollment ID | O20240516000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427767037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
| Provider Name | Megan Farmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114376142 PECOS PAC ID: 7517304116 Enrollment ID: I20240605003208 |
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