Petty Creek Ranch LLC

NPI #1417581125 in Alberton, Montana

Provider Information

NPI Number: 1417581125
Entity Type: Organization
Organization Name: Petty Creek Ranch LLC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 2161 PETTY CREEK RD
City: Alberton
State: Montana
ZIP Code: 59820-9401
Phone: (406) 722-3226

Authorized Official

Name: MICHAEL POLLARD MORSO
Title: CEO
Phone: (307) 254-4191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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