IndividualActive
Bonny Wolfe
NPI 1972391415 · Substance Use Disorder Rehabilitation Clinic/Center · Polson, MT
Provider details
- NPI number
- 1972391415
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- BBH-ACLC-LIC-79239 (MT)
Mailing address
Po Box 295
Ronan, MT 59864-0295
Registry dates
- Enumerated
- 2025-04-25
- Last updated
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.