| Masc Llc | |
|
491 Shaw Gulch Lane Superior MT 59872-0214 | |
| (406) 304-6371 | |
| Not Available |
| Full Name | Masc Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 491 Shaw Gulch Lane, Superior, Montana |
| Authorized Official Name and Position | Michelle S Mccracken (BUSINESS MANAGER) |
| Authorized Official Contact | 4063046782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masc Llc Po Box 124 Superior MT 59872-0124 Ph: (406) 304-6782 | Masc Llc 491 Shaw Gulch Lane Superior MT 59872-0214 Ph: (406) 304-6371 |
| NPI Number | 1265066500 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265066500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Choices For Change Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 304 4th Ave. E, Superior, MT 59872 Phone: 406-822-5422 Fax: 406-822-0786 |