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Organization

ALIVE AND WELL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL STAMBORSKI LCPC, LAC (THERAPIST)
(406) 892-8830
Entity
Organization

Contact information

Practice address
1611 N FORK RD, COLUMBIA FALLS, MT 59912-9410
(406) 892-8830
Mailing address
1611 N FORK RD, COLUMBIA FALLS, MT 59912-9410
(406) 892-8830

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1103
MT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1103
MT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1183
MT

Other

Enumeration date
08/05/2015
Last updated
08/05/2015
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