PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1558530683
Doing Business AsPMT MT URGENT MENTAL HEALTH
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Dir Reimb Reg Strat/Asst Sec Enroll
425-525-5392
Organization Subpart ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MT  17652)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2008-02-22
Last Update Date2021-07-09
Business Address
PROVIDENCE HEALTH & SERVICES MT
900 N ORANGE ST STE 102
MISSOULA, MT 59802-2951
Phone number: 406-327-3029
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-327-3029