# 406 RECOVERY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 406 RECOVERY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023745247
- **Authorized official:** ROBERT SISE MD (CEO)
- **Authorized official phone:** (208) 810-2319

## Contact information

- **Practice address:** 5 W MENDENHALL ST STE 202, BOZEMAN, MT 59715-3566
- **Practice address phone:** (406) 219-7233
- **Mailing address:** 96 N WEAVER ST UNIT 440, BELGRADE, MT 59714-7018
- **Mailing address phone:** (406) 219-7233
- **Mailing address fax:** (888) 798-0145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 08/07/2022
- **Last updated:** 05/16/2023