Provider Demographics
NPI:1629712161
Name:BIG SKY BEHAVIORAL HEALTH DBA RALEIGH HOUSE AT MONTANA
Entity Type:Organization
Organization Name:BIG SKY BEHAVIORAL HEALTH DBA RALEIGH HOUSE AT MONTANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:JAYNE
Authorized Official - Last Name:SCHAEFBAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-484-4996
Mailing Address - Street 1:4401 S QUEBEC ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2684
Mailing Address - Country:US
Mailing Address - Phone:720-484-7996
Mailing Address - Fax:
Practice Address - Street 1:1860 US HIGHWAY 93 N
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2627
Practice Address - Country:US
Practice Address - Phone:720-484-4996
Practice Address - Fax:303-794-6494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit