Organization
YOUTH DYNAMICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE FALCON (FINANCE MANAGER)
(406) 245-6539
Entity
Organization
Contact information
Practice address
2334 LEWIS AVE, BILLINGS, MT 59102-3927
(406) 245-6539
Mailing address
2334 LEWIS AVE, BILLINGS, MT 59102-3927
(406) 245-6539
(406) 245-3192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801918966
—
MT
05
—
1902025067
—
MT
Enumeration date
10/09/2019
Last updated
07/16/2024
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