NPI | 1518654516 |
---|---|
Doing Business As | THE GYST HOUSE |
Entity Type | Organization |
Authorized Contact | VICTORIA J DAVENPORT Clinical Director/Owner 406-590-5963 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-04-19 |
Last Update Date | 2023-06-14 |