| NPI | 1003146812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET WOODBURN Chief Executive Officer 406-541-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2023-08-09 |