Organization
YELLOWSTONE BOYS AND GIRLS RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYME ROLL EXECUTIVE (EXECUTIVE)
(406) 655-2138
Entity
Organization
Contact information
Practice address
1732 S 72ND ST W, BILLINGS, MT 59106-3538
(406) 655-2138
Mailing address
1732 S 72ND ST W, BILLINGS, MT 59106-3538
(406) 655-2138
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
SWP-LCPC-LIC-11538
MT
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/13/2015
Last updated
11/05/2024
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