| NPI | 1023195740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EATON Executive Director 406-222-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-11 |