| NPI | 1215143227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDIS K. STOCKTON Executive Director 406-248-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MT 000000000) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |