Healthcare Provider Details

I. General information

NPI: 1699250894
Provider Name (Legal Business Name): WOMEN'S RESOURCE CENTER OF DILLON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 10/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 E REEDER ST
DILLON MT
59725-2783
US

IV. Provider business mailing address

PO BOX 888
DILLON MT
59725-0888
US

V. Phone/Fax

Practice location:
  • Phone: 406-683-6106
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: ALISON DUNN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-683-6106