Healthcare Provider Details

I. General information

NPI: 1437378981
Provider Name (Legal Business Name): PARTNERSHIP FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N CALIFORNIA ST
MISSOULA MT
59802-3913
US

IV. Provider business mailing address

550 N CALIFORNIA ST
MISSOULA MT
59802-3913
US

V. Phone/Fax

Practice location:
  • Phone: 406-721-2704
  • Fax: 406-721-0034
Mailing address:
  • Phone: 406-721-2704
  • Fax: 406-721-0034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13494
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number0022696-002
License Number StateMT

VIII. Authorized Official

Name: AMY SCHAER
Title or Position: CEO
Credential:
Phone: 406-721-2704