Organization
SUB ROSA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MATNEY LCPC (OWNER)
(406) 581-1138
Entity
Organization
Contact information
Practice address
1001 OAK ST STE 205, BOZEMAN, MT 59715-8757
(406) 581-1138
Mailing address
1001 OAK ST STE 205, BOZEMAN, MT 59715-8757
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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