Provider Demographics
NPI:1629114624
Name:CHOUTEAU COUNTY
Entity Type:Organization
Organization Name:CHOUTEAU COUNTY
Other - Org Name:NEW HORIZONS RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:GEORGEANNE
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:406-622-3211
Mailing Address - Street 1:PO BOX 1167
Mailing Address - Street 2:
Mailing Address - City:FORT BENTON
Mailing Address - State:MT
Mailing Address - Zip Code:59442-1167
Mailing Address - Country:US
Mailing Address - Phone:406-622-3211
Mailing Address - Fax:
Practice Address - Street 1:1308 FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:FORT BENTON
Practice Address - State:MT
Practice Address - Zip Code:59442-0459
Practice Address - Country:US
Practice Address - Phone:406-622-3211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT196261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder