| NPI | 1801918966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE FALCON Business Manager 406-245-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MT 10890) |
| Additional Taxonomies | 251S00000X (Licence: MT 10890) |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: MT 10890) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |