| NPI | 1083053151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE THATCHER CEO 406-782-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-06-17 |