Organization
INSTAR COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI R RUSSELL (OWNER)
(406) 431-1232
Entity
Organization
Contact information
Practice address
1826 N LAST CHANCE GULCH, HELENA, MT 59601-0700
(406) 431-1232
(406) 431-1232
Mailing address
PO BOX 1811, EAST HELENA, MT 59635-1811
(406) 431-1232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1231
MT
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
554
MT
1041C0700X
Clinical Social Worker
554
MT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000502928
—
MT
Enumeration date
12/06/2017
Last updated
03/17/2018
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