Organization
MOUNTAIN HOME MONTANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA JERNBERG LCSW (CLINICAL DIRECTOR)
(406) 541-4663
Entity
Organization
Contact information
Practice address
4720 23RD AVE, MISSOULA, MT 59803-1137
(406) 541-4663
(406) 541-4662
Mailing address
4720 23RD AVE, MISSOULA, MT 59803-1137
(406) 541-4663
(406) 541-4662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
13491
MT
251S00000X
Community/Behavioral Health Agency
13491
MT
251S00000X
Community/Behavioral Health Agency
709LCSW
MT
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/03/2010
Last updated
01/13/2026
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