# AUTHENTIC AGENDA, INC.

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

## Provider details

- **NPI number:** 1851676365
- **Authorized official:** MR. BRIAN CARROLL (SECRETARY/TREASURER)
- **Authorized official phone:** (406) 600-2498

## Contact information

- **Practice address:** 386 HAMMOND CREEK RD, CRAZY MOUNTAIN RANCH, CLYDE PARK, MT 59018
- **Practice address phone:** (406) 600-2498
- **Mailing address:** 1011 BUCKRAKE AVE, BOZEMAN, MT 59718-6029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | — | NULL | Yes |
| 146N00000X | Basic Emergency Medical Technician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2011
- **Last updated:** 10/15/2011
