| NPI | 1912079328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY DESTEIN Chief Administrative Officer 406-532-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MT 11034) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management (Licence: MT 11034) | |
| 251S00000X (Licence: MT 11034) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: MT 11034) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MT 11034) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT 258 07) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: MT 13459) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MT 13459) | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-05-28 |