| NPI | 1023603750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A FRIEDEL Managing Member 406-794-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |