Healthcare Provider Details

I. General information

NPI: 1740537422
Provider Name (Legal Business Name): RIMROCK FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2012
Last Update Date: 08/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 N 29TH ST
BILLINGS MT
59101-0122
US

IV. Provider business mailing address

1231 N 29TH ST
BILLINGS MT
59101-0122
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3175
  • Fax: 406-248-3821
Mailing address:
  • Phone: 406-248-3175
  • Fax: 406-248-3821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number12982
License Number StateMT

VIII. Authorized Official

Name: LENETTE KOSOVICH
Title or Position: CEO
Credential:
Phone: 406-248-3175