Elder Tree LLC
Social Worker, Clinical in Townsend, MT. Organization (NPI-2).
NPI number1922881663
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1922881663
- Entity type
- Organization (NPI-2)
- Legal business name
- Elder Tree LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Elder Tree (Doing Business As)
Practice location
303 Broadway StTownsend, MT 59644-2223
Phone 406-813-1559 · Fax 406-302-0901
Mailing address
132 S Oak StTownsend, MT 59644-2604
Phone 406-813-1559
Authorized official
Aubrey Hancock
Owner/Manager
4068131559
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