| NPI | 1225923170 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH CONNECT CARE - BEHAVIORAL HEALTH MT |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Fiance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |