Organization
MEDICINE WATER PEER SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL R FIREBEAR (PEER SUPPORT SPECIALIST)
(406) 638-1272
Entity
Organization
Contact information
Practice address
212 HESTER AVE, LODGE GRASS, MT 59050-7717
(406) 638-1272
Mailing address
PO BOX 620, LODGE GRASS, MT 59050-0620
(406) 638-1272
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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