Organization
YELLOWSTONE BOYS AND GIRLS RANCH
Active
Other names
YBGR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE CHAVERS (CEO)
(406) 655-2109
Entity
Organization
Contact information
Practice address
3212 1ST AVE S, BILLINGS, MT 59101-3814
(406) 651-3122
(406) 651-2783
Mailing address
3212 1ST AVE S, BILLINGS, MT 59101-3814
(406) 651-3122
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
SWP-LCPC-LIC-11057
MT
251S00000X
Community/Behavioral Health Agency
Primary
SWP-LCPC-LIC-8348
MT
Other
Enumeration date
01/09/2015
Last updated
01/10/2017
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