| NPI | 1669722021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY ACKERMAN Supported Living/Home Care Manager 406-426-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MT 0044380001) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2018-04-02 |