NPI 1821444340

Phoenix Mountain Collaborative Dba Explorations

Organisation Psychiatric Residential Treatment Facility Trout Creek, MT

Practice location

Address: 119 S Hill Rd, Trout Creek, MT 59874-9634
Phone: (406) 827-3863
Fax: (406) 827-4072
Mailing address: 119 S Hill Rd P.O. Box 1469, Trout Creek, MT 59874-9634

Authorised official

Name: Penelope James
Title: Director & Co-Founder
Phone: (406) 827-3863

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence PAP-PAP-LIC-21 (MT)

Other Psychiatric Residential Treatment Facility providers in Montana →

Registry record

NPI: 1821444340
Entity type: Organization
NPI issued: 13 May 2016
Record last updated: 4 Dec 2018

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.