Organization
WESTERN MONTANA MENTAL HEALTH CENTER
Active
Other names
Lake House
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DALY PHD (CEO)
(406) 532-8400
Entity
Organization
Contact information
Practice address
7 13TH AVE EAST, POLSON, MT 59860
(406) 532-8400
(406) 543-9316
Mailing address
140 N RUSSELL ST, MISSOULA, MT 59801-1704
(406) 532-8400
(406) 224-4402
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
12652
MT
Other
Enumeration date
01/11/2016
Last updated
01/25/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up