| NPI | 1811210578 |
|---|---|
| Former Legal Business Name | ROCKY BOY CHEMICAL DEPENDENCY CENTER |
| Entity Type | Organization |
| Authorized Contact | TERESA HESTON Applications Coordinator 406-395-4486 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 905-10) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2020-01-29 |