Organization Name: | BILLINGS CLINIC |
NPI Number: | 1013101229 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT WILSON (CFO) |
Mailing Address: | 1020 N 27th St Ste 410 Billings |
State: | MT US |
Postal Code: | 591010760 |
Phone Number: | 4062382500 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2007 |
NPI Last Update Date: | 08/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |