| NPI | 1205055878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY BIRNBAUM Executive Director 406-721-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MT 7001000) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |