Healthcare Provider Details

I. General information

NPI: 1902065006
Provider Name (Legal Business Name): A PLACE FOR RECOVERY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 W MAIN ST
LAUREL MT
59044-3108
US

IV. Provider business mailing address

217 W MAIN ST
LAUREL MT
59044-3108
US

V. Phone/Fax

Practice location:
  • Phone: 406-628-4266
  • Fax: 406-628-4267
Mailing address:
  • Phone: 406-628-4266
  • Fax: 406-628-4267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1228
License Number StateMT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. AMBER B MURPHY
Title or Position: LICENSED ADDICTIONS COUNSELOR
Credential: L.A.C.
Phone: 406-628-4266