Organization
YOUTH DYNAMICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE FALCON (BUSINESS MANAGER)
(406) 245-6539
Entity
Organization
Contact information
Practice address
2334 LEWIS AVE, BILLINGS, MT 59102-3927
(406) 245-6539
(406) 245-3192
Mailing address
2334 LEWIS AVE, BILLINGS, MT 59102-3927
(406) 245-6539
(406) 245-3192
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
10890
MT
251S00000X
Community/Behavioral Health Agency
10890
MT
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385HR2055X
Child Mental Illness Respite Care
10890
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255493
—
MT
05
—
0290428
—
MT
05
—
0320411
—
MT
05
—
0320603
—
MT
05
—
0350778
—
MT
05
—
0502401
—
MT
Enumeration date
04/06/2007
Last updated
07/16/2024
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