| NPI | 1760017701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM BAISDEN Partner 406-890-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |