| NPI | 1043083645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL HEATHER RENFRO Authorized Official 406-231-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |