Individual provider · Type 1 NPI
Bonny Jean Wolfe
Substance Use Disorder Rehabilitation Clinic/Center · Polson, MT
NPI number
1972391415
Active
Practice location
414 1st St E Ste F
Polson, MT 59860-2153
Mailing address
PO Box 295
Ronan, MT 59864-0295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | BBH-ACLC-LIC-79239 (MT) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
About NPI 1972391415
Bonny Jean Wolfe's National Provider Identifier is 1972391415, issued on Apr 25, 2025. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Polson, MT. The record was last updated on Apr 25, 2025.