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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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