Organization
CROSSWINDS RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN RANDALL FERGUSON LCSW, LAC (EXECUTIVE DIRECTOR)
(406) 544-4510
Entity
Organization
Contact information
Practice address
2001 S RUSSELL ST, MISSOULA, MT 59801-6621
(406) 830-4167
Mailing address
PO BOX 5102, MISSOULA, MT 59806-5102
(406) 544-4510
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
06/02/2025
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