NPI 1124499660

Gateway Freedom Ranch

Organisation Mental Illness Community Based Residential Treatment Facility Eureka, MT

Practice location

Address: 111 Glen Lake Dr, Eureka, MT 59917-9680
Phone: (406) 889-7996
Fax: (406) 889-9193

Authorised official

Name: Lisa K Marek
Title: Director
Phone: (406) 889-7996

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Montana →

Registry record

NPI: 1124499660
Entity type: Organization
NPI issued: 9 Oct 2015
Record last updated: 9 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.