| NPI | 1740510841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LYNN SCHOBERG Owner 406-216-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MT livglife) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: MT livglife) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |