| NPI | 1265585889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM RHODES Program Manager 406-293-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MT 86-71147) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |