# REGION IV FAMILY OUTREACH, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Outreach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447300132
- **Authorized official:** MICHELE PINT CMBS (BILLING SPECIALIST)
- **Authorized official phone:** (406) 587-2477

## Contact information

- **Practice address:** 1236 HELENA AVE, HELENA, MT 59601-2948
- **Practice address phone:** (406) 443-3083
- **Practice address fax:** (406) 443-3209
- **Mailing address:** 1236 HELENA AVE, HELENA, MT 59601-2948
- **Mailing address phone:** (406) 443-3083
- **Mailing address fax:** (406) 443-3209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/10/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0227903 | — | MT |
| 05 | — | 471053 | — | MT |
| 05 | — | 651534 | — | MT |