| NPI | 1104990373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE CHAVERS CEO 406-655-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MT 10810) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 364S00000X Clinical Nurse Specialist | |
| 363LF0000X Nurse Practitioner, Family | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: MT 10810) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2017-03-23 |