| NPI | 1467855619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARON FRANKLIN BROOKER Executive Director 406-696-6595 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MT 3801005) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2020-03-27 |