| NPI | 1952464448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAREE KELLY Administrator 406-727-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MT 10350) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |