Organization
ROCKY MOUNTAIN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAREE KELLY (ADMINISTRATOR)
(406) 727-8832
Entity
Organization
Contact information
Practice address
920 4TH AVE N, GREAT FALLS, MT 59401-1514
(406) 727-8832
Mailing address
920 4TH AVE N, GREAT FALLS, MT 59401-1514
(406) 727-8832
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10350
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02958
ATENA INSURANCE
—
01
—
0900591-000
DPHHS
MT
01
—
2652
BLUE CROSS BLUE SHIELD
MT
01
—
335500
VALUE OPTIONS
—
01
—
54451
NEW WEST HEALTH SERVICES
MT
Enumeration date
12/18/2006
Last updated
08/22/2020
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