Organization
FAMILY OUTREACH
Active
Organization
FAMILY OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE MAHONEY (DIRECTOR)
(406) 443-3083
Entity
Organization
Contact information
Practice address
641 SAMPSON ST, BUTTE, MT 59701-3201
(406) 494-1242
Mailing address
499 W WOOLMAN ST, BUTTE, MT 59701-8856
(406) 491-1118
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0167144
MT
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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