Organization · Type 2 NPI

Disentangled

Community/Behavioral Health Agency · Missoula, MT

NPI number 1649177783 Active

Practice location

440 1/2 Plymouth St
Missoula, MT 59801-4153

Call (503) 508-8639 Map

Mailing address

2120 S Reserve St, Pmb #802
Missoula, MT 59801-6451

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1649177783

Disentangled's National Provider Identifier is 1649177783, issued on Oct 22, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Missoula, MT. The record was last updated on Oct 22, 2026.