Organization
ALPENGLOW CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERYN JANELLE MAERZ (CHAIRMAN)
(406) 300-2984
Entity
Organization
Contact information
Practice address
285 2ND AVENUE WEST N STE 101, KALISPELL, MT 59901-3910
(406) 890-2570
(406) 314-6186
Mailing address
285 2ND AVENUE WEST N STE 101, KALISPELL, MT 59901-3910
(406) 300-3984
(406) 314-6186
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
09/27/2019
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