| NPI | 1972205284 |
|---|---|
| Doing Business As | SHODAIR CHILDREN'S HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | NELSON AFANADOR Director Of Business Operations 406-444-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261Q00000X |
| 261QG0250X | |
| 261QM0801X | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-01-12 |