| NPI | 1285769786 |
|---|---|
| Former Legal Business Name | MISSOULA INDIAN CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | LEEANN BRUISED HEAD Executive Director 406-829-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 224-15) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-11-18 |