NPI 1215447693

Excelsior Consulting, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Missoula, MT

Practice location

Address: 415 N Higgins Ave STE 26, Missoula, MT 59802-4560
Phone: (406) 926-1322
Mailing address: PO Box 7145, Missoula, MT 59807-7145

Authorised official

Name: Robert Gibbons
Title: Owner
Phone: (406) 926-1322

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1215447693
Entity type: Organization
NPI issued: 11 Oct 2017
Record last updated: 11 Oct 2017

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.