NPI | 1306232673 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYME ROLL Executive 406-655-2138 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: MT SWP-LCPC-LIC-11538) |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2024-11-05 |