Big Sky Life Support
Community/Behavioral Health in Missoula, MT. Organization (NPI-2).
NPI number1154079366
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1154079366
- Entity type
- Organization (NPI-2)
- Legal business name
- Big Sky Life Support
- Organization subpart
- No
- Enumeration date
- Mar 16, 2022
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
8420 Pheasant DrMissoula, MT 59808-1012
Phone 406-880-0184 · Fax 406-258-0512
Mailing address
8420 Pheasant DrMissoula, MT 59808-1012
Phone 406-880-0184 · Fax 406-258-0512
Authorized official
Christopher Paul Buckles
Administrator
4068800184
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All 32 Community/Behavioral Health Agency providers in Missoula · All 4,716 providers in Missoula
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