IndividualActive
Jim Martinez, LAC
NPI 1740552272 · Substance Abuse Rehabilitation Facility · Kalispell, MT
Provider details
- NPI number
- 1740552272
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 998 (MT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4880 US Highway 93 S
Kalispell, MT 59901-7985
Phone: (406) 857-2506
Fax: (406) 857-2503
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2521
Columbia Falls, MT 59912-2521
Registry dates
- Enumerated
- 2012-01-30
- Last updated
- 2012-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.