Provider Demographics
NPI:1013613629
Name:FRANCIS, RITA N/A (STUDENT)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:N/A
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:STUDENT
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:N/A
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HATFIELD
Mailing Address - Street 1:2112 26TH ST S UNIT 112
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5190
Mailing Address - Country:US
Mailing Address - Phone:812-946-2579
Mailing Address - Fax:
Practice Address - Street 1:2112 26TH ST S UNIT 112
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5190
Practice Address - Country:US
Practice Address - Phone:812-946-2579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty