Healthcare Provider Details

I. General information

NPI: 1245509173
Provider Name (Legal Business Name): YOUNG FAMILIES EARLY HEAD START
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2011
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 COOK AVE
BILLINGS MT
59102-5806
US

IV. Provider business mailing address

1020 COOK AVE
BILLINGS MT
59102-5806
US

V. Phone/Fax

Practice location:
  • Phone: 406-259-2007
  • Fax: 406-259-4901
Mailing address:
  • Phone: 406-259-2007
  • Fax: 406-259-4901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: JERI CUELLAR
Title or Position: HEALTH & WELLNESS SPECIALIST
Credential:
Phone: 406-259-2007