Whalio Doctors

NPI 1740552272

Jim Christopher Martinez, LAC

Practitioner Substance Abuse Rehabilitation Facility Kalispell, MT

Practice location

Address
4880 US Highway 93 S, Kalispell, MT 59901-7985
Phone
(406) 857-2506
Fax
(406) 857-2503
Mailing address
PO Box 2521, Columbia Falls, MT 59912-2521

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 998 (MT)

Registry record

NPI
1740552272
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jan 2012
Record last updated
30 Jan 2012

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.