| NPI | 1003869710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA LINKENAUGER Manager 406-234-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MT 4771) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |