| NPI | 1003218132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOEHMKE HUDSON Mental Health Therapist 406-207-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |