Whalio Doctors

NPI 1518954106

Intermountain Deaconess Home

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Helena, MT

Practice location

Address
500 S. Lamborn St., Helena, MT 59601-5417
Phone
(406) 442-7920
Fax
(406) 442-7949
Mailing address
3240 Dredge Dr, Helena, MT 59602-0548

Authorised official

Name
Jennifer Williams
Title
Cao
Phone
(406) 457-4822

Registered specialties (8)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 0007148-005 (MT)
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 6560 (MT)
Case Management Agency
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 0007148-001 (MT)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 7148 (MT)
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X Licence 0007148-005 (MT)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 7148 (MT)

Registry record

NPI
1518954106
Entity type
Organization
NPI issued
29 Sep 2005
Record last updated
12 Jan 2024

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.