Organization
MISSION MOUNTAIN ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAYDON MOLL (CHIEF EXECUTIVE OFFICER)
(406) 676-2563
Entity
Organization
Contact information
Practice address
330 MAIN ST SW, RONAN, MT 59864-2707
(406) 676-2563
(406) 676-2569
Mailing address
330 MAIN ST SW, RONAN, MT 59864-2707
(406) 676-2563
(406) 676-2569
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0010326
MT
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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