Provider Demographics
NPI:1326466202
Name:MONTANA COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:MONTANA COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPPORT SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-656-5976
Mailing Address - Street 1:993 S 24TH ST W STE B
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:406-656-0128
Practice Address - Street 1:993 S 24TH ST W STE B
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7433
Practice Address - Country:US
Practice Address - Phone:406-656-5976
Practice Address - Fax:406-656-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT12617-05320800000X
MT12617-06320800000X
MT12617-07320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness