Organization

Dba Phc Russell Elementary

Mental Health Counselor in Missoula, MT(View on Map)

Legal Business Name

Dba Phc Russell Elementary

NPI Number

1215769906

NPI Type

Organization

Enumeration Date

08/20/2024

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

401 RAILROAD ST W
401 RAILROAD ST W

City

Missoula
Missoula

State

MT
MT

Postal Code

59802-4178
59802-4178

Country

US
US

Telephone Number

(406) 258-4789
(406) 258-4789

Authorized Official

Name

Dawn Briggs

Title or Position

BILLING MANAGER

Telephone Number

(406) 258-4789

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/20/2024

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