Whalio Doctors

NPI 1417581125

Petty Creek Ranch LLC

Organisation Children's Substance Abuse Rehabilitation Facility Alberton, MT

Practice location

Address
2161 Petty Creek Rd, Alberton, MT 59820-9401
Phone
(406) 722-3226
Mailing address
PO Box 289, Alberton, MT 59820-0289

Authorised official

Name
Michael Pollard Morso
Title
Ceo
Phone
(307) 254-4191

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1417581125
Entity type
Organization
NPI issued
3 Mar 2020
Record last updated
3 Mar 2020

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.