| NPI | 1043943236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE HEISKELL Therapist 406-871-6876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2026-02-07 |