NPI 1760017701
Prosper Adolescent Care LLC
Practice location
- Address
- 31733 S Fork Yaak Rd STE B, Troy, MT 59935-8681
- Phone
- (855) 383-2566
- Mailing address
- 6885 Bauman St, Bonners Ferry, ID 83805-8723
Authorised official
- Name
- John William Baisden
- Title
- Partner
- Phone
- (406) 890-5885
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1760017701
- Entity type
- Organization
- NPI issued
- 10 Mar 2020
- Record last updated
- 10 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.