Individual provider · Type 1 NPI
Jim Christopher Martinez, LAC
Substance Abuse Rehabilitation Facility · Kalispell, MT
Practice location
4880 US Highway 93 S
Kalispell, MT 59901-7985
Fax (406) 857-2503
Mailing address
PO Box 2521
Columbia Falls, MT 59912-2521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 998 (MT) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
3 other providers at this address
About NPI 1740552272
Jim Christopher Martinez, LAC's National Provider Identifier is 1740552272, issued on Jan 30, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Kalispell, MT. The record was last updated on Jan 30, 2012.