Healthcare Provider Details
I. General information
NPI: 1881321818
Provider Name (Legal Business Name): THE RURAL BEHAVIORAL HEALTH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/01/2022
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
906 FLOYD WAY
LIVINGSTON MT
59047-1969
US
IV. Provider business mailing address
PO BOX 203
LIVINGSTON MT
59047-0203
US
V. Phone/Fax
- Phone: 406-317-5525
- Fax:
- Phone: 406-317-5525
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JANET
LINDOW
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-317-5525