Organization
HKJ INC
Active
Other names
Winds of Change Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LUPO (ASSISTANT FINANCE DIRECTOR)
(406) 541-4673
Entity
Organization
Contact information
Practice address
1120 CEDAR ST, MISSOULA, MT 59802-3911
(406) 541-4673
(406) 327-0042
Mailing address
1120 CEDAR ST, MISSOULA, MT 59802-3911
(406) 543-1929
(406) 327-0042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10966
MT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351577
—
MT
Enumeration date
01/29/2007
Last updated
01/03/2024
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