| NPI | 1780737007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN NOFFSINGER Finance Officer 406-755-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MT 0010991) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |