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Boule Sophia Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Polson, Montana
NPI 1881290302

Boule Sophia Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Polson, MT and is specialized in Mental Health (Including Community Mental Health Center). Boule Sophia Llc practices in Polson, MT. The NPI Number for Boule Sophia Llc is 1881290302 and holds a License No. (Montana).

The current practice location address for Boule Sophia Llc is 41582 Baypoint Rd, Polson, MT and can be reached out via phone at 406-491-2898.

Location: 41582 Baypoint Rd, Polson, MT, 59860-1642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881290302
Provider Name
Boule Sophia Llc
Credential
Provider Entity Type
Organization
Address
41582 Baypoint Rd, Polson, MT, 59860-1642
Phone Number
406-491-2898
Fax Number
Provider Enumeration Date
12/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1200619724101 01 MT DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
41582 Baypoint Rd
City
Polson
State
Montana
Zip
59860-8584
Phone Number
406-491-2898
Fax Number
person
Provider Business Mailing Address Details
Address
41582 Baypoint Rd
City
Polson
State
Montana
Zip
59860-8584
Phone Number
406-491-2898
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
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Definition
Definition to come...
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