Provider First Line Business Practice Location Address:
420 NORTH CHEYENNE AVENUE
Provider Second Line Business Practice Location Address:
LAME DEER HEALTH CENTER - BEHAVIOR HEALTH
Provider Business Practice Location Address City Name:
LAME DEER
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-477-4514
Provider Business Practice Location Address Fax Number:
406-477-4513
Provider Enumeration Date:
11/06/2012