Healthcare Provider Details

I. General information

NPI: 1841323706
Provider Name (Legal Business Name): BOYD ANDREW COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 06/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 S LAST CHANCE GULCH
HELENA MT
59601-4131
US

IV. Provider business mailing address

PO BOX 1153
HELENA MT
59624
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-2343
  • Fax: 406-443-5490
Mailing address:
  • Phone: 406-443-2343
  • Fax: 406-443-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMY M TENNEY
Title or Position: CEO
Credential:
Phone: 406-447-3281