# INTERMOUNTAIN DEACONESS HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intermountain
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518954106
- **Authorized official:** MRS. JENNIFER WILLIAMS (CAO)
- **Authorized official phone:** (406) 457-4822

## Contact information

- **Practice address:** 500 S. LAMBORN ST., HELENA, MT 59601-5417
- **Practice address phone:** (406) 442-7920
- **Practice address fax:** (406) 442-7949
- **Mailing address:** 3240 DREDGE DR, HELENA, MT 59602-0548
- **Mailing address phone:** (406) 457-4820
- **Mailing address fax:** (406) 442-7949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 0007148-005 | MT | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 7148 | MT | — |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 01/12/2024