Provider Demographics
NPI:1972481711
Name:DISTRICT IV HUMAN RESOURCE DEVELOPMENT COUNCIL
Entity type:Organization
Organization Name:DISTRICT IV HUMAN RESOURCE DEVELOPMENT COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:REVIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-265-6743
Mailing Address - Street 1:2229 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-5217
Mailing Address - Country:US
Mailing Address - Phone:406-265-6743
Mailing Address - Fax:
Practice Address - Street 1:2229 5TH AVE
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-5217
Practice Address - Country:US
Practice Address - Phone:406-265-6743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management