| NPI | 1598649568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS JOSLIN Licensing/Credentialing Coordinator 406-381-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |