| NPI | 1518954106 |
|---|---|
| Doing Business As | INTERMOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS CAO 406-457-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MT 0007148-005) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MT 6560) |
| 251B00000X Case Management | |
| 251S00000X (Licence: MT 0007148-001) | |
| 251S00000X (Licence: MT 7148) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MT 0007148-005) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MT 7148) | |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2024-01-12 |