Organization
MONTANA ACADEMY, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A MCKINNON M.D. (PRESIDENT)
(406) 755-7318
Entity
Organization
Contact information
Practice address
9705 LOST PRAIRIE RD, MARION, MT 59925-9844
(406) 858-2339
(406) 858-2356
Mailing address
28 W CALIFORNIA ST, KALISPELL, MT 59901-3927
(406) 755-7318
(406) 755-3150
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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