Organization Name: | ALCOHOL & DRUG SERVICES OF GALLATIN COUNTY |
NPI Number: | 1053521633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELLY JOHNSON (DIRECTOR) |
Mailing Address: | 2310 N 7th Ave Bozeman |
State: | MT US |
Postal Code: | 597152550 |
Phone Number: | 4065865493 |
Fax Number: | 4065871238 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 08/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |