| NPI | 1760734149 |
|---|---|
| Other Name | GRACE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | RAE ANN MOXLEY Sole Proprietor 406-293-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MT 0044364-001) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |