DEMETRIUS ALEXANDER FASSAS

BUTTE, MT
NPI1548925654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: MT  BBH-BHPS-CRT-44134)
Enumeration Date2021-11-03
Last Update Date2021-11-03
Business Address
DEMETRIUS ALEXANDER FASSAS CBHPSS
609 W GALENA ST
BUTTE, MT 59701-1507
Phone number: 406-640-8069
Mailing Address
DEMETRIUS ALEXANDER FASSAS CBHPSS
521 N EXCELSIOR AVE
BUTTE, MT 59701-8715
Phone number: 859-200-6861