NPI | 1144372012 |
---|---|
Doing Business As | WILDERNESS TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | JOHN E. BREKKE President 406-854-2832 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MT 10132) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2012-02-21 |