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Organization

406 RECOVERY INC

Active
Other names
406 RECOVERY
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT SISE MD (CEO)
(208) 810-2319
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
2084P0802X
Addiction Psychiatry Physician

Other

Enumeration date
08/07/2022
Last updated
05/16/2023
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