OrganizationActive
Lake County Chemical Dependency Program
NPI 1619909488 · Substance Use Disorder Rehabilitation Clinic/Center · Polson, MT
Provider details
- NPI number
- 1619909488
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Theresa Oakland, Director(406) 883-7310
- License
- 251 (MT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
802 Main St Ste C
Polson, MT 59860-3200
Phone: (406) 883-7310
Fax: (406) 883-7312
Approximate (ZIP-level) locationGet directions
Mailing address
802 Main St Ste C
Polson, MT 59860-3200
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.