Organization
WHITE BUFFALO HEALING LODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDI BOSTON LAC (EXECUTIVE DIRECTOR)
(406) 221-7058
Entity
Organization
Contact information
Practice address
22 W PARK ST # 211, BUTTE, MT 59701-1714
(406) 221-7058
Mailing address
22 W PARK ST, BUTTE, MT 59701-1714
(406) 221-7058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
05/12/2025
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