| NPI | 1023525771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNDA MARIE ALBERT Owner 406-260-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MT BBH-LAC-LIC-1275) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT BBH-SWLC-LIC-17314) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2022-02-04 |