OrganizationActive
Youth Homes
NPI 1902105620 · Mental Illness Community Based Residential Treatment Facility · Missoula, MT
Provider details
- NPI number
- 1902105620
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Geoffrey Birnbaum, Executive Director(406) 721-2704
- License
- 7001001 (MT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
550 N California St
Missoula, MT 59802-3913
Phone: (406) 721-2704
Fax: (406) 721-0034
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7616
Missoula, MT 59807-7616
Registry dates
- Enumerated
- 2011-03-21
- Last updated
- 2011-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.