NPI 1497765150
State of Montana
Practice location
- Address
- 525 E Mercury St, Butte, MT 59701-1911
- Phone
- (406) 496-5407
- Fax
- (406) 496-5437
- Mailing address
- 111 N Sanders St Dept 30, Helena, MT 59601-4520
Authorised official
- Name
- Aleasha Martin
- Title
- Facility Reimbursement Manager
- Phone
- (406) 444-3416
Registered specialties (4)
Substance Abuse Rehabilitation Facility
Primary
Neurology Physician
Psychiatry Physician
Addiction Psychiatry Physician
Registry record
- NPI
- 1497765150
- Entity type
- Organization
- NPI issued
- 8 Aug 2006
- Record last updated
- 26 Feb 2024
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.