| NPI | 1003276791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON NORWOOD BUSH Owner/Lcpc 406-212-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1482) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |