Organization
PATRICIA FLYNN, LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FLYNN LAC (OWNER/LAC)
(406) 850-4477
Entity
Organization
Contact information
Practice address
1629 AVENUE D STE B4, BILLINGS, MT 59102-3071
(406) 850-4477
Mailing address
PO BOX 20368, BILLINGS, MT 59104-0368
(406) 850-4477
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0000309
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000309
—
MT
Enumeration date
11/28/2017
Last updated
11/28/2017
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