| NPI | 1497004337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARON FRANKLIN BROOKER Executive Director 406-696-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MT 3801005) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-06-21 |