# MOUNTAIN HOME MONTANA INC

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

## Provider details

- **NPI number:** 1265752034
- **Authorized official:** GRETA JERNBERG LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (406) 541-4663

## Contact information

- **Practice address:** 4720 23RD AVE, MISSOULA, MT 59803-1137
- **Practice address phone:** (406) 541-4663
- **Practice address fax:** (406) 541-4662
- **Mailing address:** 4720 23RD AVE, MISSOULA, MT 59803-1137
- **Mailing address phone:** (406) 541-4663
- **Mailing address fax:** (406) 541-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251B00000X | Case Management Agency | 13491 | MT | — |
| 251S00000X | Community/Behavioral Health Agency | 13491 | MT | — |
| 251S00000X | Community/Behavioral Health Agency | 709LCSW | MT | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 01/13/2026