Organization · Type 2 NPI
Wholly Authentic Life LLC
Clinic/Center · Fairfield, MT
NPI number
1043930993
Active
Practice location
201 1st Ave N
Fairfield, MT 59436-9245
Fax (406) 467-3407
Mailing address
PO Box 907
Fairfield, MT 59436-0907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
About NPI 1043930993
Wholly Authentic Life LLC's National Provider Identifier is 1043930993, issued on Aug 31, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fairfield, MT. The record was last updated on Sep 29, 2023.