| NPI | 1679113674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN DALE PARKER Executive Director 406-825-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |