MONTANA SOCIETY INCORPORATED NPI 1023385390

NPI Information

MONTANA SOCIETY INCORPORATED is a substance abuse rehabilitation facility in Prescott, AZ. The provider is 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. MONTANA SOCIETY INCORPORATED NPI is 1023385390. The provider is registered as an organization entity type.
The provider Is Doing Business As The Montana Lodge.

The provider's business location address is:

1630 SHOUP ST
PRESCOTT, AZ
ZIP 86305-343
Phone: (928) 227-2448
Fax: (928) 268-3433

The provider's authorized official is Kenneth Chance .
The authorized official title is Ceo/president and has the following contact phone number (928) 288-2004.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 7/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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