Provider First Line Business Practice Location Address:
MONTANA STATE HOSPITAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARM SPRINGS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59756-2119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-693-7060
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/09/2006