| NPI | 1215488325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J SUTLEY Executive Director 406-250-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MT PAP-PAP-LIC-580) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2017-03-22 |