| NPI | 1013754001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA D BARNETTE Chief Executive Office 406-203-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-17 |