Organization
WILDERNESS ALTERNATIVE SCHOOL, INC
Active
Other names
Wilderness Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E. BREKKE LAC (PRESIDENT)
(406) 854-2832
Entity
Organization
Contact information
Practice address
200 HUBBART DAM RD, MARION, MT 59925-9708
(406) 854-2832
Mailing address
200 HUBBART DAM RD, MARION, MT 59925-9708
(406) 854-2832
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10132
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02662
BLUE CROSS BLUE SHIELD
MT
Enumeration date
01/18/2007
Last updated
02/21/2012
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