NPI | 1700319092 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN J FRIELDS Director 406-827-1957 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2017-04-04 |
Last Update Date | 2022-07-21 |