| NPI | 1013543347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L. WETHERELT Fnp C, Pmhnp Bc 406-234-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2021-05-27 |