Whalio Doctors

NPI 1548659113

Western Montana Mental Health Center

Organisation Substance Abuse Rehabilitation Facility Missoula, MT

Practice location

Address
1201 Wyoming St, Missoula, MT 59801-1727
Phone
(406) 532-8400
Fax
(406) 543-9316
Mailing address
140 N Russell St, Missoula, MT 59801-1704

Authorised official

Name
Jodi Daly
Title
Ceo
Phone
(406) 532-8400

Registered specialties (11)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 13459 (MT)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 13459 (MT)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 90514 (MT)
Addiction Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RA0401X Licence 13459 (MT)
Addiction Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RA0401X Licence 90514 (MT)
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 90514 (MT)
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 13459 (MT)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 13459 (MT)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 90514 (MT)
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 13459 (MT)
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 90514 (MT)

Registry record

NPI
1548659113
Entity type
Organization
NPI issued
20 Jan 2015
Record last updated
16 Feb 2018

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.