YELLOWSTONE BOYS & GIRLS RANCH Facility ID Number: 3
1732 S 72ND ST W County: YELLOWSTONE
BILLINGS MT 59106- NOT PROV COA
Phone: 655-2100 Fax: Current License Duration: 1
Administrator: RY SORENSEN Health Planning Region Number: 3
License Number: 10577 Exp. Date: 11/05/2006 Total Original License Date: 10/05/98
ENDORSEMENTS
Child and Adolescent Intensive Case: X Child & Adolescent Day Treatment: X Mental Health Group Home:
Adult Intensive Case Management: Adult Foster Care: Adult Day Treatment:
Crisis Intervention & Stabilization: Comprehensive School and Community Treatment Program X
YOUTH DYNAMICS INC Facility ID Number: 9
2334 LEWIS AVENUE County: YELLOWSTONE
BILLINGS MT 59102- NOT PROV
Phone: 245-6539 Fax: Current License Duration: 1
Administrator: PETER DEGEL Health Planning Region Number: 3
License Number: 10483 Exp. Date: 08/02/2006 Total Original License Date: 06/02/99
ENDORSEMENTS
Child and Adolescent Intensive Case: Child & Adolescent Day Treatment: X Mental Health Group Home:
Adult Intensive Case Management: Adult Foster Care: Adult Day Treatment:
Crisis Intervention & Stabilization: Comprehensive School and Community Treatment Program
ALTA CARE OF MONTANA Facility ID Number: 13
55 BASIN CRK RD County: SILVER BOW
BUTTE MT 59701- NOT PROV
Phone: 494-4183 Fax: Current License Duration: 1
Administrator: DAVE BENNETTS Health Planning Region Number: 4
License Number: 10427 Exp. Date: 06/28/2006 Total Original License Date: 12/29/99
ENDORSEMENTS
Child and Adolescent Intensive Case: X Child & Adolescent Day Treatment: X Mental Health Group Home:
Adult Intensive Case Management: Adult Foster Care: Adult Day Treatment:
Crisis Intervention & Stabilization: Comprehensive School and Community Treatment Program X
GOLDEN TRIANGLE COM MENTAL HEALTH CENTER Facility ID Number: 2
915 1ST AVENUE County: CASCADE
GREAT FALLS MT 59401- NOT PROV
Phone: 761-2100 Fax: PO BOX 3089 Current License Duration: 1
Administrator: MIKE MCLAUGHLIN Health Planning Region Number: 2
License Number: 10310 Exp. Date: 03/31/2006 Total 32 Original License Date:
ENDORSEMENTS
Child and Adolescent Intensive Case: X Child & Adolescent Day Treatment: X Mental Health Group Home: X
Adult Intensive Case Management: X Adult Foster Care: X Adult Day Treatment: X
Crisis Intervention & Stabilization: X Comprehensive School and Community Treatment Program X
INTERMOUNTAIN CHILDRENS HOME Facility ID Number: 11
500 S LAMBORN County: LEWIS & CLARK
HELENA MT 59601- NOT PROV JCAHO
Phone: 442-7920 Fax: Current License Duration: 3
Administrator: JIM FITZGERALD Health Planning Region Number: 4
License Number: 10607 Exp. Date: 12/01/2008 Total Original License Date: 09/29/99
ENDORSEMENTS
Child and Adolescent Intensive Case: X Child & Adolescent Day Treatment: X Mental Health Group Home:
Adult Intensive Case Management: Adult Foster Care: Adult Day Treatment:
Crisis Intervention & Stabilization: Comprehensive School and Community Treatment Program X
NORTHWEST BEHAVIORAL HEALTH Facility ID Number: 18
7325 HWY 93 SOUTH County: FLATHEAD
LAKESIDE MT 59922- NOT PROV
Phone: 844-2890 Fax: Current License Duration: 1
Administrator: LESLIE NYMAN Health Planning Region Number: 5
License Number: 10309 Exp. Date: 04/17/2006 Total 0 Original License Date: 09/17/02
ENDORSEMENTS
Child and Adolescent Intensive Case: Child & Adolescent Day Treatment: Mental Health Group Home:
Adult Intensive Case Management: Adult Foster Care: Adult Day Treatment:
Crisis Intervention & Stabilization: Comprehensive School and Community Treatment Program X
EASTERN MONTANA MENTAL HEALTH CENTER Facility ID Number: 4
2508 WILSON STREET County: CUSTER
MILES CITY MT 59301- NOT PROV
Phone: 234-1687 Fax: PO BOX 1530 Current License Duration: 1
Administrator: FRANK L LANE Health Planning Region Number: 1
License Number: 10391 Exp. Date: 06/06/2006 Total 11 Original License Date:
ENDORSEMENTS
Child and Adolescent Intensive Case: Child & Adolescent Day Treatment: Mental Health Group Home: X
Adult Intensive Case Management: X Adult Foster Care: X Adult Day Treatment: X
Crisis Intervention & Stabilization: Comprehensive School and Community Treatment Program
WESTERN MONTANA REGIONAL COM MENTAL HEALTH Facility ID Number: 5
BUILDING T-9 FORT County: MISSOULA
MISSOULA MT 59804- NOT PROV
Phone: 728-6817 Fax: Current License Duration: 1
Administrator: PAUL MEYER Health Planning Region Number: 5
License Number: 10578 Exp. Date: 11/30/2006 Total 54 Original License Date:
ENDORSEMENTS
Child and Adolescent Intensive Case: X Child & Adolescent Day Treatment: X Mental Health Group Home: X
Adult Intensive Case Management: X Adult Foster Care: X Adult Day Treatment: X
Crisis Intervention & Stabilization: X Comprehensive School and Community Treatment Program X
BITTERROOT VALLEY EDUCATION COOPERATIVE Facility ID Number: 6
300 PARK ST County: RAVALLI
STEVENSVILLE MT 59870- NOT PROV
Phone: 777-2494 Fax: PO BOX 187 Current License Duration: 1
Administrator: CAROL EWEN Health Planning Region Number: 5
License Number: 10627 Exp. Date: 01/27/2007 Total Original License Date: 01/08/99
ENDORSEMENTS
Child and Adolescent Intensive Case: X Child & Adolescent Day Treatment: Mental Health Group Home:
Adult Intensive Case Management: Adult Foster Care: Adult Day Treatment:
Crisis Intervention & Stabilization: Comprehensive School and Community Treatment Program X
MONTANA STATE HOSPITAL TRANSITIONAL CARE Facility ID Number: 10
WARM SPRINGS STATE County: DEER LODGE
WARM SPRINGS MT 59756- NOT PROV
Phone: 693-7000 Fax: PO BOX 300 Current License Duration: 2
Administrator: ED AMBERG Health Planning Region Number: 4
License Number: 10655 Exp. Date: 02/03/2008 Total 15 Original License Date: 08/03/99
ENDORSEMENTS
Child and Adolescent Intensive Case: Child & Adolescent Day Treatment: Mental Health Group Home: X
Adult Intensive Case Management: Adult Foster Care: Adult Day Treatment:
Crisis Intervention & Stabilization: Comprehensive School and Community Treatment Program