Organization · NPI-2

406 Recovery INC

Psychiatry & Neurology, Addiction Medicine · Bozeman, MT

NPI number1023745247
StatusActive
Last updated in NPPESMay 16, 2023

Details

NPI
1023745247
Entity type
Organization (NPI-2)
Legal business name
406 Recovery INC
Organization subpart
No
Enumeration date
Aug 7, 2022
Certification date
May 16, 2023
Last updated
May 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084A0401X Psychiatry & Neurology, Addiction Medicine––Yes
2084P0802X Psychiatry & Neurology, Addiction Psychiatry––

Other names

  • 406 Recovery (Doing Business As)

Practice location

5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566

Phone 406-219-7233

Mailing address

96 N Weaver St Unit 440
Belgrade, MT 59714-7018

Phone 406-219-7233 · Fax 888-798-0145

Authorized official

Robert Sise
Ceo
2088102319

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