Organization
PETTY CREEK RANCH LLC
Active
Organization
PETTY CREEK RANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL POLLARD MORSO (CEO)
(307) 254-4191
Entity
Organization
Contact information
Practice address
2161 PETTY CREEK RD, ALBERTON, MT 59820-9401
(406) 722-3226
Mailing address
PO BOX 289, ALBERTON, MT 59820-0289
(406) 722-3226
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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