Whalio Doctors

NPI 1346787413

Family Outreach

Organisation Early Intervention Provider Agency Butte, MT

Practice location

Address
641 Sampson St, Butte, MT 59701-3201
Phone
(406) 494-1242
Mailing address
499 W Woolman St, Butte, MT 59701-8856

Authorised official

Name
Mike Mahoney
Title
Director
Phone
(406) 443-3083

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 0167144 (MT)

Registry record

NPI
1346787413
Entity type
Organization
NPI issued
26 Jan 2017
Record last updated
26 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.