Provider First Line Business Practice Location Address:
630 SACAJAWEA DR
Provider Second Line Business Practice Location Address:
CENTER FOR MENTAL HEALTH/SACAJAWEA ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
GREAT FALLS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59404-1222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-761-2100
Provider Business Practice Location Address Fax Number:
406-761-2107
Provider Enumeration Date:
08/28/2008