| NPI | 1821126004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY KELLER CEO 406-248-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 10687) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 13319) |
| 104100000X Social Worker (Licence: MT 13319) | |
| 1041C0700X Social Worker, Clinical (Licence: MT 13319) | |
| 106H00000X Marriage & Family Therapist (Licence: MT 13319) | |
| 251B00000X Case Management | |
| 251E00000X Home Health (Licence: MT 13319) | |
| 251S00000X (Licence: MT 13319) | |
| 261Q00000X Clinic/Center | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 363L00000X Nurse Practitioner (Licence: MT 13317) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-07-09 |