Organization Name: | CROW TRIBE OF INDIANS |
NPI Number: | 1497041941 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEEANN JOHNSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 10110 South 7650 East Crow Agency |
State: | MT US |
Postal Code: | 590220159 |
Phone Number: | 4066382626 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2011 |
NPI Last Update Date: | 06/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |