| NPI | 1053865196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYNEN JEAN LALICKER President 406-565-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 5323-LCSW) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |