Provider Demographics
NPI:1902065006
Name:A PLACE FOR RECOVERY, INC
Entity Type:Organization
Organization Name:A PLACE FOR RECOVERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ADDICTIONS COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:B
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:406-628-4266
Mailing Address - Street 1:217 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-3108
Mailing Address - Country:US
Mailing Address - Phone:406-628-4266
Mailing Address - Fax:406-628-4267
Practice Address - Street 1:217 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MT
Practice Address - Zip Code:59044-3108
Practice Address - Country:US
Practice Address - Phone:406-628-4266
Practice Address - Fax:406-628-4267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1228251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health