| NPI | 1033678396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRENT SUCHANIC Family Therapist/Owner 406-540-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2023-09-07 |