NPI | 1801918966 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE FALCON Business Manager 406-245-6539 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251B00000X Case Management (Licence: MT 10890) |
251S00000X (Licence: MT 10890) | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: MT 10890) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2024-07-16 |