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 |