Organization Name: | HI-LINE RECOVERY |
NPI Number: | 1497890271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM MARTIN (EXECUTIVE DIRECTOR) |
Mailing Address: | 220 3rd Ave Suite 110 Havre |
State: | MT US |
Postal Code: | 595013554 |
Phone Number: | 4062651071 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 09/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 259-07 |
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: |