Organization
HUGH M . AND MARY GRACE BLACK
Active
Organization
HUGH M . AND MARY GRACE BLACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGH M. BLACK (PARTNER)
(406) 449-3880
Entity
Organization
Contact information
Practice address
48 MEDICAL PARK DR, HELENA, MT 59601-4925
(406) 449-3880
(406) 442-6935
Mailing address
48 MEDICAL PARK DR, HELENA, MT 59601-4925
(406) 449-3880
(406) 442-6935
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
133
MT
1041C0700X
Clinical Social Worker
31
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490438
—
MT
05
—
0500357
—
MT
Enumeration date
09/20/2007
Last updated
09/20/2007
Update your record
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