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Organization
INTERMOUNTAIN DEACONESS HOME
Active
Organization
INTERMOUNTAIN DEACONESS HOME
Active
Other names
Intermountain
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER WILLIAMS (CAO)
(406) 457-4822
Entity
Organization
Contact information
Practice address
500 S. LAMBORN ST., HELENA, MT 59601-5417
(406) 442-7920
(406) 442-7949
Mailing address
3240 DREDGE DR, HELENA, MT 59602-0548
(406) 457-4820
(406) 442-7949
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
6560
MT
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
0007148-001
MT
251S00000X
Community/Behavioral Health Agency
7148
MT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
0007148-005
MT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0007148-005
MT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
7148
MT
Other
Enumeration date
09/29/2005
Last updated
01/12/2024
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