institution
Lake County Chemical Dependency Program
Substance Use Disorder Rehabilitation Clinic/Center in Polson, Montana
NPI 1619909488

Lake County Chemical Dependency Program is a Substance Use Disorder Rehabilitation Clinic/Center based in Polson, MT and is specialized in Rehabilitation, Substance Use Disorder. Lake County Chemical Dependency Program practices in Polson, MT. The NPI Number for Lake County Chemical Dependency Program is 1619909488 and holds a License No. 251 (Montana).

The current practice location address for Lake County Chemical Dependency Program is 802 Main St Ste C, Polson, MT and can be reached out via phone at 406-883-7310 and via fax at 406-883-7312. You can also correspond with Lake County Chemical Dependency Program through the mailing address at 802 MAIN ST STE C, POLSON, MT - 59860-3200 (mailing address contact number: 406-883-7310).

Location: 802 Main St Ste C, Polson, MT, 59860-3200
institution
Provider Profile Details
NPI Number
1619909488
Provider Name
Lake County Chemical Dependency Program
Credential
Provider Entity Type
Organization
Address
802 Main St Ste C, Polson, MT, 59860-3200
Phone Number
406-883-7310
Fax Number
406-883-7312
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
760850 01 MT BLUE CROSS BLUE SHIELD ID
0320099 05 MT
institution
Provider Business Practice Location Address Details
Address
802 Main St Ste C
City
State
Zip
59860-3200
Phone Number
406-883-7310
Fax Number
406-883-7312
person
Provider Business Mailing Address Details
Address
802 Main St Ste C
City
State
Zip
59860-3200
Phone Number
406-883-7310
Fax Number
406-883-7312
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
251 (Montana)
Definition
Definition to come...
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