| NPI | 1063620243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REVA PARKER Owner President 406-586-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT LCPC #365) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2008-11-13 |