Organization
FREEDOM & WISH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAWEH ETMINAN-RAD (OWNER/PRESIDENT)
(406) 360-3696
Entity
Organization
Contact information
Practice address
1845 SUNDOWNER LN, VICTOR, MT 59875-9725
(406) 360-3696
Mailing address
1845 SUNDOWNER LN, VICTOR, MT 59875-9725
(406) 360-3696
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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