| NPI | 1003243064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY KAY BOESE Owner 406-442-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-RN-LIC-27589) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2014-06-18 |