Gateway Freedom Ranch
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Eureka, MT
NPI 1124499660 · NPPES record last updated Dec 9, 2016
Key facts
- NPI
- 1124499660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- GATEWAY FREEDOM RANCH
- Practice address
- 111 Glen Lake Dr
Eureka, MT 59917-9680 - Phone
- (406) 889-7996
- Fax
- (406) 889-9193
- NPI assigned
- Oct 9, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lisa K Marek
- Title
- Director
- Phone
- (406) 889-7996
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
111 Glen Lake Dr
Eureka, MT 59917-9680
Mailing address
111 Glen Lake Dr
Eureka, MT 59917-9680
Phone (406) 889-7996
Other providers in Eureka, MT
- Eureka Volunteer Ambulance Service Inc
- Tayler Ann Featherly
- Mark A. Fink
- Rod Eugene Fleming
- Carl William Florey
- Glacier Clinic LLC
- Garry D Grant
- Tammi Green
- Tiffany Gregg
- Grizzly Eye Center, PC
All providers in Eureka, MT · Mental Illness Community Based Residential Treatment Facility in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.