# SUMMIT INDEPENDENT LIVING CENTER INC

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

## Provider details

- **NPI number:** 1811539703
- **Authorized official:** SCOTT D FELS (FINANCIAL OFFICER)
- **Authorized official phone:** (406) 728-1630

## Contact information

- **Practice address:** 700 SW HIGGINS AVE STE 101, MISSOULA, MT 59803-1489
- **Practice address phone:** (406) 728-1630
- **Practice address fax:** (406) 829-3309
- **Mailing address:** 700 SW HIGGINS AVE STE 101, MISSOULA, MT 59803-1489
- **Mailing address phone:** (406) 728-1630
- **Mailing address fax:** (406) 829-3309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2019
- **Last updated:** 10/11/2019