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Organization

FRIENDS TO YOUTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANA LOVELAND (ADMISTRATIVE ASSISTANT)
(406) 728-2662
Entity
Organization

Contact information

Practice address
1515 E BROADWAY ST, MISSOULA, MT 59802-4929
(406) 728-2662
(406) 728-2879
Mailing address
1515 E BROADWAY ST, MISSOULA, MT 59802-4929
(406) 728-2662
(406) 728-2879

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
621420
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0503285
MT
05
0503608
MT
05
0503999
MT
Enumeration date
03/30/2007
Last updated
08/22/2020
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