# PROSPER ADOLESCENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prosper Treatment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760017701
- **Authorized official:** JOHN WILLIAM BAISDEN JR. (PARTNER)
- **Authorized official phone:** (406) 890-5885

## Contact information

- **Practice address:** 31733 S FORK YAAK RD STE B, TROY, MT 59935-8681
- **Practice address phone:** (855) 383-2566
- **Mailing address:** 6885 BAUMAN ST, BONNERS FERRY, ID 83805-8723
- **Mailing address phone:** (855) 383-2566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2020
- **Last updated:** 03/10/2020