OrganizationActive
State of Montana
NPI 1326058207 · Intellectual Disabilities Intermediate Care Facility · Boulder, MT
Provider details
- NPI number
- 1326058207
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Aleasha Martin, Facility Reimbursement Manager(406) 444-3416
- License
- 10867 (MT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
310 Fourth Avenue
Boulder, MT 59632-0087
Phone: (406) 225-4410
Fax: (406) 225-4414
Approximate (ZIP-level) locationGet directions
Mailing address
111 N Sanders St Dept 30
Helena, MT 59601-4520
Other names (DBA / former)
- Doing business as
- Intensive Behavior Center
- Doing business as
- Montana Developmental Center
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.