Wilderness Alternative School, INC
Substance Abuse Rehabilitation Facility in Marion, MT. Organization (NPI-2).
NPI number1144372012
StatusActive
Last updated in NPPESFeb 21, 2012
Details
- NPI
- 1144372012
- Entity type
- Organization (NPI-2)
- Legal business name
- Wilderness Alternative School, INC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Feb 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 10132 | MT | Yes |
Other names
- Wilderness Treatment Center (Doing Business As)
Practice location
200 Hubbart Dam RdMarion, MT 59925-9708
Phone 406-854-2832
Mailing address
200 Hubbart Dam RdMarion, MT 59925-9708
Phone 406-854-2832
Authorized official
John E. Brekke
President
4068542832
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