| NPI | 1851430342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL TISKUS Supported Living Director 406-252-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |