Organization
REGION IV FAMILY OUTREACH, INC
Active
Other names
Family Outreach
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE PINT CMBS (BILLING SPECIALIST)
(406) 587-2477
Entity
Organization
Contact information
Practice address
1236 HELENA AVE, HELENA, MT 59601-2948
(406) 443-3083
(406) 443-3209
Mailing address
1236 HELENA AVE, HELENA, MT 59601-2948
(406) 443-3083
(406) 443-3209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227903
—
MT
05
—
471053
—
MT
05
—
651534
—
MT
Enumeration date
01/12/2007
Last updated
08/10/2017
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