| NPI | 1649055070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PAUL BUCKLES Executive Director 406-880-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-01-25 |