Provider First Line Business Practice Location Address:
621 1ST AVE S
Provider Second Line Business Practice Location Address:
CENTER FOR MENTAL HEALTH/NDC
Provider Business Practice Location Address City Name:
GREAT FALLS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59401-3606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-761-2104
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2006