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
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