Organization
ALTERNATIVE YOUTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY BROWN (ADMINISTRATIVE ASSISTANT)
(406) 857-2506
Entity
Organization
Contact information
Practice address
4880 US HIGHWAY 93 S, KALISPELL, MT 59901-7985
(406) 857-2506
Mailing address
4880 US HIGHWAY 93 S, KALISPELL, MT 59901-7985
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
08R21
OR
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
2624
MT
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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