| Friends To Youth Inc. | |
|
1515 E Broadway St Missoula MT 59802-4929 | |
| (406) 728-2662 | |
| (406) 728-2879 |
| Full Name | Friends To Youth Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1515 E Broadway St, Missoula, Montana |
| Authorized Official Name and Position | Lana Loveland (ADMISTRATIVE ASSISTANT) |
| Authorized Official Contact | 4067282662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Friends To Youth Inc. 1515 E Broadway St Missoula MT 59802-4929 Ph: (406) 728-2662 | Friends To Youth Inc. 1515 E Broadway St Missoula MT 59802-4929 Ph: (406) 728-2662 |
| NPI Number | 1649390881 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649390881 | NPI | - | NPPES |
| 0503999 | Medicaid | MT | |
| 0503285 | Medicaid | MT | |
| 0503608 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 621420 (Montana) | Primary |
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