# YELLOWSTONE BOYS AND GIRLS RANCH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104990373
- **Authorized official:** MR. MIKE CHAVERS (CEO)
- **Authorized official phone:** (406) 655-2109

## Contact information

- **Practice address:** 1732 S 72ND ST W, BILLINGS, MT 59106-3500
- **Practice address phone:** (406) 655-2100
- **Practice address fax:** (406) 651-2783
- **Mailing address:** 1732 S 72ND ST W, BILLINGS, MT 59106-3500
- **Mailing address phone:** (406) 655-2100
- **Mailing address fax:** (406) 651-2783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 10810 | MT | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | 10810 | MT | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 364S00000X | Clinical Nurse Specialist | — | NULL | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 03/23/2017