| NPI | 1649019837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN D BABINEAU Office Manager 406-315-3167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251B00000X Case Management |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |