Organization
EASTERN MT COMMUNITY MENTAL HEALTH CDU PROG
Active
Organization
EASTERN MT COMMUNITY MENTAL HEALTH CDU PROG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BEASON (CIO)
(406) 234-0234
Entity
Organization
Contact information
Practice address
2508 WILSON ST, MILES CITY, MT 59301-5000
(406) 234-0234
Mailing address
2508 WILSON ST, MILES CITY, MT 59301-5000
(406) 234-0234
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
273-07
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320112
—
MT
Enumeration date
02/22/2007
Last updated
10/23/2024
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