Provider First Line Business Practice Location Address:
4119 7TH AVE N
Provider Second Line Business Practice Location Address:
CENTER FOR MENTAL HEALTH/MORNINGSIDE 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:
59405-1119
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:
12/18/2013