Organization
ASPEN MENTAL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LACEY BOND MCINTOSH APRN (OWNER)
(406) 899-3513
Entity
Organization
Contact information
Practice address
600 CENTRAL AVE, SUITE# 310, GREAT FALLS, MT 59401-3179
(406) 899-3513
Mailing address
112 MARILLYN DR, GREAT FALLS, MT 59405-7258
(406) 899-3513
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26716
MT
Other
Enumeration date
07/04/2013
Last updated
07/22/2013
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