| NPI | 1124499660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA K MAREK Director 406-889-7996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2016-12-09 |