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Organization

THE GYST HOUSE

Active
Other names
The GYST House
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA J DAVENPORT LAC, LCPC (CLINICAL DIRECTOR/OWNER)
(406) 590-5963
Entity
Organization

Contact information

Practice address
721 56TH ST S, GREAT FALLS, MT 59405-5816
(406) 590-5963
Mailing address
4617 DIANA DR, GREAT FALLS, MT 59405-3807
(406) 590-5963

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
04/19/2023
Last updated
06/14/2023
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