| NPI | 1043701014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA CLEARMAN Owner/Counselor 406-422-9448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MT BBH-LCPC-LIC-30456) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-06-16 |