Organization
NEW HORIZON'S YOUTH RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS EUGENE HARRELL (DIRECTOE)
(406) 889-5994
Entity
Organization
Contact information
Practice address
6442 W KOOTENAI RD, REXFORD, MT 59930-9440
(406) 889-5995
Mailing address
5677 W KOOTENAI RD, REXFORD, MT 59930-9750
(406) 889-5994
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
D129596
MT
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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