Organization
CENTER FOR MENTAL HEALTH
Active
Other names
Golden Triangle Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY BLAIR (CEO)
(406) 781-6852
Entity
Organization
Contact information
Practice address
915 1ST AVE S, GREAT FALLS, MT 59401-3705
(406) 771-8648
(406) 771-8648
Mailing address
PO BOX 3089, GREAT FALLS, MT 59403-3089
(406) 791-9599
(406) 791-9629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
10720
MT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00396-7
BLUE CROSS/SHIELD GROUP #
MT
01
—
10720
HEALTH CARE FACILITY LIC
MT
01
—
2364
HEALTH/E/WEB SUBMITTER ID
MT
01
—
74961
BC-BS CENTER4MH ID #
MT
Enumeration date
07/05/2006
Last updated
08/09/2023
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