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Organization
PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS
Active
Organization
PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE JAMES (DIRECTOR & CO-FOUNDER)
(406) 827-3863
Entity
Organization
Contact information
Practice address
119 S HILL RD, TROUT CREEK, MT 59874-9634
(406) 827-3863
(406) 827-4072
Mailing address
119 S HILL RD, P.O. BOX 1469, TROUT CREEK, MT 59874-9634
(406) 827-3863
(406) 827-4072
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
PAP-PAP-LIC-21
MT
Other
Enumeration date
05/13/2016
Last updated
12/04/2018
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