Organization · Type 2 NPI

Shape

Adult Mental Health Clinic/Center · Missoula, MT

NPI number 1003677683 Active

Practice location

111 N Higgins Ave Ste 204
Missoula, MT 59802-4401

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1003677683

Shape's National Provider Identifier is 1003677683, issued on Jan 19, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Missoula, MT. The record was last updated on Feb 8, 2024.