Organization
GATEWAY FREEDOM RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA K MAREK (DIRECTOR)
(406) 889-7996
Entity
Organization
Contact information
Practice address
111 GLEN LAKE DR, EUREKA, MT 59917-9680
(406) 889-7996
(406) 889-9193
Mailing address
111 GLEN LAKE DR, EUREKA, MT 59917-9680
(406) 889-7996
(406) 889-9193
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
12/09/2016
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