NPI 1497765150 · live from the CMS NPI Registry
State Of Montana
Substance Abuse Rehabilitation Facility in Butte, MT. National Provider Identifier 1497765150, active.
NPI record
| NPI | 1497765150 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Substance Abuse Rehabilitation Facility 324500000X |
| Practice location | 525 E Mercury St, Butte, MT 59701 |
| Practice phone | 406-496-5407 |
| Mailing address | 111 N Sanders St Dept 30, Helena, MT 59601 |
| Enumerated | August 8, 2006 |
| Last updated | February 26, 2024 |
| Authorized official | Aleasha Martin, Facility Reimbursement Manager |
| Other names | Montana Chemical Dependency Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Psychiatry & Neurology, Addiction Psychiatry | 2084P0802X | — |
| Substance Abuse Rehabilitation Facility primary | 324500000X | 10324 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.