Provider Demographics
NPI:1629827332
Name:BEAR CREEK WELLNESS CENTER
Entity type:Organization
Organization Name:BEAR CREEK WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-342-9151
Mailing Address - Street 1:122 INDIAN PRAIRIE LOOP
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-6523
Mailing Address - Country:US
Mailing Address - Phone:949-887-3716
Mailing Address - Fax:
Practice Address - Street 1:122 INDIAN PRAIRIE LOOP
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MT
Practice Address - Zip Code:59870-6523
Practice Address - Country:US
Practice Address - Phone:858-342-9151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility