| NPI | 1003694548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN CARR Owner 406-414-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-11-02 |