| NPI | 1013677327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS MALAVER PARADA Counselor 406-468-8425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2024-04-30 |