Healthcare Provider Details

I. General information

NPI: 1437325164
Provider Name (Legal Business Name): YELLOWSTONE COUNTY YOUTH SERVICES CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 N 27TH ST
BILLINGS MT
59101-1939
US

IV. Provider business mailing address

PO BOX 30856
BILLINGS MT
59107-0856
US

V. Phone/Fax

Practice location:
  • Phone: 406-256-6825
  • Fax: 406-294-0967
Mailing address:
  • Phone: 406-256-6825
  • Fax: 406-294-0967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number378 LCSW
License Number StateMT

VIII. Authorized Official

Name: VALARIE WEBER
Title or Position: DIRECTOR
Credential:
Phone: 406-256-6825