Organization
EASTERN MONTANA INDUSTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON K BRENCE (EXECUTIVE DIRECTOR)
(406) 234-3740
Entity
Organization
Contact information
Practice address
805 S HAYNES AVE, MILES CITY, MT 59301-5723
(406) 234-3740
(406) 234-3742
Mailing address
805 S HAYNES AVE, MILES CITY, MT 59301-5723
(406) 234-3740
(406) 234-3742
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
MT
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66-0660
—
MT
Enumeration date
03/26/2007
Last updated
03/10/2025
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