| NPI | 1578769980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L THIELBAHR Director 406-847-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-05-06 |