Organization
YELLOWSTONE BOYS AND GIRLS RANCH
Active
Organization
YELLOWSTONE BOYS AND GIRLS RANCH
Active
Parent organization
YELLOWSTONE BOYS AND GIRLS RANCH
Other names
YBGR Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
YELLOWSTONE BOYS AND GIRLS RANCH
Authorized official
MR. MIKE CHAVERS (CEO)
(406) 655-1209
Entity
Organization
Contact information
Practice address
1732 S 72ND ST W, BILLINGS, MT 59106
(406) 655-2142
Mailing address
1732 S 72ND ST W, BILLINGS, MT 59106-3538
(406) 655-2100
(406) 656-0021
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/09/2017
Last updated
06/15/2018
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