Organization
YELLOWSTONE BOYS AND GIRLS RANCH
Active
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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