Organization
CHANGE ON THE HORIZON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILSON LAC (LICENSED ADDICTION COUNSELOR)
(406) 839-6045
Entity
Organization
Contact information
Practice address
15 COLORADO AVE, LAUREL, MT 59044-3112
(406) 561-4337
Mailing address
120 YELLOWSTONE AVE, LAUREL, MT 59044-3239
(406) 839-6045
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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