Organization
VIA VITA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN PEDEW (MANAGING MEMBER)
(406) 771-5030
Entity
Organization
Contact information
Practice address
320 1ST AVE N, GREAT FALLS, MT 59401-2506
(406) 771-5030
Mailing address
PO BOX 1048, GREAT FALLS, MT 59403-1048
(406) 771-5030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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