| Renew Wellness Center | |
|
2 5th St N Ste 202 Great Falls MT 59401-4011 | |
| (406) 453-9355 | |
| (844) 274-1180 |
| Full Name | Renew Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2 5th St N Ste 202, Great Falls, Montana |
| Authorized Official Name and Position | Stacy Peterson (CO-OWNER) |
| Authorized Official Contact | 4068686163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Wellness Center Po Box 2691 Great Falls MT 59403-2691 Ph: (406) 453-9355 | Renew Wellness Center 2 5th St N Ste 202 Great Falls MT 59401-4011 Ph: (406) 453-9355 |
| NPI Number | 1548746456 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548746456 | NPI | - | NPPES |
| 7178366 | Medicaid | MT | |
| KOVPYU3GG | Medicaid | MT |
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