NPI | 1063634327 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL RAY BUTZ CEO Licensed Psychologist 406-294-9677 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MT 365) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |