NPI | 1023844313 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN CARR President 406-529-5058 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2024-09-12 |
Last Update Date | 2024-09-12 |