| NPI | 1023767407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANN SWALLOW CFO 406-370-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |