| |
314 N Last Chance Gulch Suite 306 Helena MT 59601-5012 | |
(307) 509-0772 | |
(307) 426-4133 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 314 N Last Chance Gulch, Helena, Montana |
Authorized Official Name and Position | Sheri Jolene Fluellen (CEO) |
Authorized Official Contact | 3075090772 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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719 E 17th St Cheyenne WY 82001-4711 Ph: (307) 509-0772 | 314 N Last Chance Gulch Suite 306 Helena MT 59601-5012 Ph: (307) 509-0772 |
NPI Number | 1811331051 |
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Provider Enumeration Date | 04/18/2013 |
Last Update Date | 07/09/2014 |
Identifier | Type | State | Issuer |
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1811331051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 498 (Wyoming) | Primary |
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