# MASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265066500
- **Authorized official:** MRS. MICHELLE S MCCRACKEN CPC-A, COC-A, BHPSS (BUSINESS MANAGER)
- **Authorized official phone:** (406) 304-6782

## Contact information

- **Practice address:** 491 SHAW GULCH LANE, SUPERIOR, MT 59872-0214
- **Practice address phone:** (406) 304-6371
- **Mailing address:** PO BOX 124, SUPERIOR, MT 59872-0124
- **Mailing address phone:** (406) 304-6782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2020
- **Last updated:** 02/26/2020