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General NPI Number Information
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NPI Number | 1801918966
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Entity Type | Organization
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Legal Business Name | YOUTH DYNAMICS, INC.
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 2334 LEWIS AVE
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City | BILLINGS
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State | MT
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Zip | 59102-3927
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Country | US
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Telephone | 406-245-6539
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Fax | 406-245-3192
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Provider Business Mailing Address
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Address Line | 2334 LEWIS AVE
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City | BILLINGS
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State | MT
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Zip | 59102-3927
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Country | US
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Telephone | 406-245-6539
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Fax | 406-245-3192
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. LESLIE FALCON
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Credential |
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Telephone | 406-245-6539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number | 10890
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 10890
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 10890
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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