Prosper Adolescent Care LLC

NPI #1760017701 in Troy, Montana

Provider Information

NPI Number
1760017701
Entity Type
Organization
Organization Name
Prosper Adolescent Care LLC
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Mar 10, 2020
Last Updated
Mar 10, 2020

Practice Location

Address
31733 S FORK YAAK RD STE B
City
Troy
State
Montana
ZIP Code
59935-8681
Phone
(855) 383-2566

Authorized Official

Name
JOHN WILLIAM BAISDEN JR.
Title
PARTNER
Phone
(406) 890-5885

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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