Organization
KELLY EWALT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY EWALT (OWNER)
(406) 249-9153
Entity
Organization
Contact information
Practice address
305 1ST AVE W, COLUMBIA FALLS, MT 59912-3625
(406) 249-9153
(406) 892-4606
Mailing address
305 1ST AVE W, COLUMBIA FALLS, MT 59912-3625
(406) 249-9153
(406) 892-4606
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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