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27D2190317 CLIA NUMBER - MONTANA CHEMICAL DEPENDENCY CENTER

Laboratory Demographics

CLIA Number: 27D2190317

Facility Name: MONTANA CHEMICAL DEPENDENCY CENTER

Facility Address:
525 EAST MERCURY STREET
BUTTE, MT
ZIP 59701
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Facility Phone Number: 406 496-5430

Facility Type: Other - INPATIENT TREATMENT FACIL

Certificate Type: Waiver
NPI Number: 1497765150

Taxonomy: 324500000X - 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.

CLIA Record

Field Name Field Value
CLIA Number 27D2190317
LAB Type Other - INPATIENT TREATMENT FACIL
Facility Name MONTANA CHEMICAL DEPENDENCY CENTER
Street 525 EAST MERCURY STREET
City BUTTE
State MT
ZIP 59701
Phone 406 496-5430
CertificateType 4
CertificateEffectiveDate 8/12/2022
CertificateExpirationDate 8/11/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024