Provider Demographics
NPI:1003273533
Name:NCENTER
Entity Type:Organization
Organization Name:NCENTER
Other - Org Name:NCENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRI
Authorized Official - Middle Name:JAN
Authorized Official - Last Name:MATNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-599-2492
Mailing Address - Street 1:21000 FRONTAGE RD
Mailing Address - Street 2:#13
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-8547
Mailing Address - Country:US
Mailing Address - Phone:406-599-2492
Mailing Address - Fax:406-577-2085
Practice Address - Street 1:21000 FRONTAGE RD
Practice Address - Street 2:#13
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-8547
Practice Address - Country:US
Practice Address - Phone:406-599-2492
Practice Address - Fax:406-577-2085
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NCENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1871974246OtherNPI
MT1972513018OtherNPI
MT1700184967OtherNPI
MT1124435730OtherNPI
MT1497181085OtherNPI