| NPI | 1326466202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDIE SULLINS Support Services Director 406-656-5976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MT 12617-07) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MT 12617-05) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MT 12617-06) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |