# PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS

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

## Provider details

- **NPI number:** 1821444340
- **Authorized official:** PENELOPE JAMES (DIRECTOR & CO-FOUNDER)
- **Authorized official phone:** (406) 827-3863

## Contact information

- **Practice address:** 119 S HILL RD, TROUT CREEK, MT 59874-9634
- **Practice address phone:** (406) 827-3863
- **Practice address fax:** (406) 827-4072
- **Mailing address:** 119 S HILL RD, P.O. BOX 1469, TROUT CREEK, MT 59874-9634
- **Mailing address phone:** (406) 827-3863
- **Mailing address fax:** (406) 827-4072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | PAP-PAP-LIC-21 | MT | Yes |

## Other

- **Enumeration date:** 05/13/2016
- **Last updated:** 12/04/2018